DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC.
NPI 1417636093
Pathology - Anatomic Pathology & Clinical Pathology in Carson City, NV

NPI Status: Active since July 12, 2023

Contact Information

1600 MEDICAL PKWY
CARSON CITY, NV
ZIP 89703
Phone: (916) 447-6267
Fax: (916) 456-5872

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 29D0680086
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 04-08-2027

About DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Diagnostic Pathology Medical Group, Inc., a provider established in Carson City, Nevada operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1417636093 assigned on July 2023. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jeanette J Boado (Billing Supervisor)

NPI
1417636093
Provider Name
DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
1600 MEDICAL PKWY CARSON CITY, NV 89703
Location Phone
(916) 447-6267
Location Fax
(916) 456-5872
Mailing Address
3301 C ST STE 200E SACRAMENTO, CA 95816
Mailing Phone
(916) 447-6267
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2023
Last Update Date
07-12-2023
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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
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

JEANETTE J BOADO

Authorized Official Title
BILLING SUPERVISOR
Authorized Official Phone
(916) 447-6267

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
29D0680086
Facility Type
Independent
Certificate Effective Date
April 09, 2025
Certificate Expiration Date
April 08, 2027
Laboratory Director
MARK R WOLZ
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Diagnostic Pathology Medical Group, Inc. 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417636093, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 1 + 2 + 3 + 1 + 2 + 0 + 1 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1417636093.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Emergency Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Emergency Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Emergency Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Emergency Medicine
1600 MEDICAL PKWY, CTRMC
CARSON CITY, NV 89703
Internal Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Anesthesiology
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Internal Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Hospitalist
1600 MEDICAL PKWY, CARSON TAHOE REGIONAL MEDICAL CENTER
CARSON CITY, NV 89703
Licensed Practical Nurse
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Emergency Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Emergency Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Emergency Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Emergency Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Emergency Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Emergency Medicine
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Pathology (Clinical Pathology/Laboratory Medicine)
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Pathology (Clinical Pathology/Laboratory Medicine)
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Clinical Nurse Specialist (Adult Health)
1600 MEDICAL PKWY
CARSON CITY, NV 89703
Physical Medicine & Rehabilitation
1600 MEDICAL PKWY
CARSON CITY, NV 89703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417636093, enumerated as an "organization" on July 12, 2023.

The provider is located at 1600 MEDICAL PKWY CARSON CITY, NV 89703 and the phone number is (916) 447-6267.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.