INTERSCOPE PATHOLOGY MEDICAL GROUP INC
NPI 1104830074
Pathology - Anatomic Pathology & Clinical Pathology in Westlake Village, CA

Q: What is Interscope Pathology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since July 28, 2006

30700 RUSSELL RANCH RD SUITE 250, UNIT 235, WESTLAKE VILLAGE, CA 91362(818) 992-7848(818) 992-7748 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2026, May 18, 2023, Feb 13, 2017 (3 updates tracked since 2017).

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About Interscope Pathology Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERSCOPE PATHOLOGY MEDICAL GROUP INC (NPI 1104830074) is a healthcare organization registered as an anatomic pathology & clinical pathology in Westlake Village, California and active in the NPI registry since July 2006. The organization lists Bryan T Lin, Treasuer/president, as its authorized official.

NPPES Registry Identity

NPI1104830074

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameINTERSCOPE PATHOLOGY MEDICAL GROUP INC

Location Address30700 RUSSELL RANCH RD SUITE 250, UNIT 235Westlake Village, CA 91362-5907

Mailing Address30700 Russell Ranch Rd Ste 250Westlake Village, CA 91362-9507 · (818) 992-7848 · Fax (818) 992-7748

Phone(818) 992-7848

Fax(818) 992-7748

Organization SubpartNo

Authorized OfficialBryan T LinTreasuer/president · (818) 992-7848

Enumeration DateJuly 28, 2006

Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1104830074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in CA · 05D0700248

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

30700 RUSSELL RANCH RD SUITE 250, UNIT 235, Westlake Village, CA 91362

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0700248

Interscope Pathology Medical Group · Westlake Village, CA

Expired · Jul 31, 2026

CLIA Number05D0700248

Laboratory TypeIndependent

Certificate Effective DateAugust 9, 2023

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorBryan T. Lin

Laboratory Phone(818) 992-7848

Laboratory LocationInterscope Pathology Medical Group30700 Russell Ranch Rd Suite 250 Room 235, Westlake Village, CA 91362

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERSCOPE PATHOLOGY MEDICAL GROUP

Clinical Medical Laboratory

30700 RUSSELL RANCH RD SUITE 250, UNIT 235
WESTLAKE VILLAGE, CA 91362

Ventura County (818) 992-7848

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Interscope Pathology Medical Group Inc's NPI number?

The NPI number for Interscope Pathology Medical Group Inc is 1104830074. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Interscope Pathology Medical Group Inc located?

Interscope Pathology Medical Group Inc is located at 30700 Russell Ranch Rd Suite 250, Unit 235, Westlake Village, CA 91362. The listed phone number is (818) 992-7848.

What is Interscope Pathology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Interscope Pathology Medical Group Inc was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.