CLIN-PATH DIAGNOSTICS, LLC
NPI 1154350932
Pathology - Anatomic Pathology & Clinical Pathology in Tempe, AZ

NPI Status: Active since July 02, 2006

Contact Information

2109 S. 48TH STREET
SUITE 102
TEMPE, AZ
ZIP 85282
Phone: (602) 424-2889
Fax: (602) 424-2569

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 03D1082549
  • CLIA Cert. Type: Compliance
  • CLIA Exp. Date: 04-06-2025

About CLIN-PATH DIAGNOSTICS, LLC

Clin-path Diagnostics, Llc is a provider established in Tempe, Arizona operating as a Pathology with a focus in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1154350932 assigned on July 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Robert De La Torre (C.o.o.)

NPI
1154350932
Provider Name
CLIN-PATH DIAGNOSTICS, LLC
Entity Type
Organization
Location Address
2109 S. 48TH STREET SUITE 102 TEMPE, AZ 85282
Location Phone
(602) 424-2889
Location Fax
(602) 424-2569
Mailing Address
PO BOX 42210 PHOENIX, AZ 85080
Mailing Phone
(623) 889-7403
Mailing Fax
(602) 424-2569
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2006
Last Update Date
12-18-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License State
AZ
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1291U00000XLaboratories

Clinical Medical Laboratory

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT DE LA TORRE

Authorized Official Title
C.O.O.
Authorized Official Phone
(602) 685-5211

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
112005MEDICARE PIN (08)AZ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1082549
Facility Type
Hospital
Certificate Effective Date
April 07, 2023
Certificate Expiration Date
April 06, 2025
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Clin-path Diagnostics, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154350932
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110465096
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 5 + 0 + 9 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1154350932 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154350932, enumerated in the NPI registry as an "organization" on July 02, 2006

The provider is located at 2109 S. 48th Street Suite 102 Tempe, Az 85282 and the phone number is (602) 424-2889

This medical organization specializes in Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D1082549 for a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on July 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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