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

Q: What is Diagnostic 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 12, 2023CLIA 29D0680086 · Certificate of Compliance

1600 MEDICAL PKWY, CARSON CITY, NV 89703(916) 447-6267(916) 456-5872 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Diagnostic Pathology Medical Group, Inc. NPPES

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

DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC. (NPI 1417636093) is a healthcare organization registered as an anatomic pathology & clinical pathology in Carson City, Nevada and active in the NPI registry since July 2023. The organization holds a CLIA Certificate of Compliance certificate valid through April 8, 2027 and lists Jeanette J Boado, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1417636093

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameDIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC.

Location Address1600 MEDICAL PKWYCarson City, NV 89703-4625

Mailing Address3301 C St Ste 200eSacramento, CA 95816-3363 · (916) 447-6267

Phone(916) 447-6267

Fax(916) 456-5872

Organization SubpartNo

Authorized OfficialJeanette J BoadoBilling Supervisor · (916) 447-6267

Enumeration DateJuly 12, 2023

NPPES CertifiedJuly 12, 2023

✔ NPI 1417636093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code207ZP0102X

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.

1600 MEDICAL PKWY, Carson City, NV 89703

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 29D0680086

Diagnostic Pathology Medical Group, Inc · Carson City, NV

Active · expires Apr 8, 2027

CLIA Number29D0680086

Laboratory TypeIndependent

Certificate Effective DateApril 9, 2025

Certificate Expiration DateApril 8, 2027

Laboratory DirectorMark R Wolz

Laboratory Phone(916) 440-6317

Laboratory LocationDiagnostic Pathology Medical Group, Inc1600 Medical Pkwy, Carson City, NV 89703

CLIA data matches this NPI record on: Address Name

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 20

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

DR. SARA M REAM MD

Emergency Medicine