VISTA PATHOLOGY LABORATORY, LLC
NPI 1487928420
Pathology - Anatomic Pathology & Clinical Pathology in Medford, OR

Active since March 07, 2012CLIA Certified · 5 labs
1032 E JACKSON ST, MEDFORD, OR 97504(541) 770-4559(541) 770-4511 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vista Pathology Laboratory, Llc NPPES

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

VISTA PATHOLOGY LABORATORY, LLC (NPI 1487928420) is a healthcare organization registered as an anatomic pathology & clinical pathology in Medford, Oregon and active in the NPI registry since March 2012. The organization holds 5 active CLIA laboratory certificates and lists Shari L Brite, Administrator, as its authorized official.

NPPES Registry Identity

NPI1487928420
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameVISTA PATHOLOGY LABORATORY, LLC
Location Address1032 E JACKSON STMedford, OR 97504-7027
Mailing AddressPo Box 1000Medford, OR 97501-0071 · (541) 770-4559 · Fax (541) 770-4511
Fax(541) 770-4511
Organization SubpartNo
Authorized OfficialShari L BriteAdministrator · 54177044559
Enumeration DateMarch 7, 2012
Last NPPES UpdateApril 18, 2012
NPI 1487928420 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.
1032 E JACKSON ST, Medford, OR 97504

Other Identifiers 1

Other38D2036013OR · Clia

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 5

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 Accreditation 38D2036013

Vista Pathology Laboratory LLC · Medford, OR
Active · expires Mar 1, 2028
CLIA Number38D2036013
Laboratory TypeIndependent
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorDr. Michael D. Kyle
Laboratory Phone(541) 770-4559
Laboratory LocationVista Pathology Laboratory LLC1032 E Jackson Street, Medford, OR 97504
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 38D0673288

Vista Pathology Laboratory LLC · Medford, OR
Active · expires Jun 24, 2028
CLIA Number38D0673288
Laboratory TypeIndependent
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorDr. Allison Y. Loudermilk
Laboratory Phone(541) 770-4559
Laboratory LocationVista Pathology Laboratory LLC2825 Barnett Road Building B - South Lobby, Medford, OR 97504
CLIA data matches this NPI record on: 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.

Certificate of Compliance 38D2074144

Vista Pathology Laboratory LLC · Grants Pass, OR
Active · expires Jun 23, 2028
CLIA Number38D2074144
Laboratory TypeIndependent
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorDr. Geoffrey P. Turner
Laboratory Phone(541) 770-4559
Laboratory LocationVista Pathology Laboratory LLC500 SW Ramsey Avenue, Grants Pass, OR 97527
CLIA data matches this NPI record on: 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.

Certificate of Compliance 38D2096241

Vista Pathology Laboratory LLC · Medford, OR
Active · expires Oct 26, 2027
CLIA Number38D2096241
Laboratory TypeIndependent
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorDr. Michael D. Kyle
Laboratory Phone(541) 770-4559
Laboratory LocationVista Pathology Laboratory LLC1111 Crater Lake Avenue, Medford, OR 97504
CLIA data matches this NPI record on: 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.

Certificate of Compliance 38D2010656

Vista Pathology Laboratory LLC · Ashland, OR
Active · expires Dec 20, 2026
CLIA Number38D2010656
Laboratory TypeIndependent
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorDr. Geoffrey P. Turner
Laboratory Phone(541) 770-4559
Laboratory LocationVista Pathology Laboratory LLC280 Maple Street, Ashland, OR 97520
CLIA data matches this NPI record on: 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 5

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

Pathology (Anatomic Pathology & Clinical Pathology)
1032 E JACKSON ST
MEDFORD, OR 97504
Pathology (Anatomic Pathology & Clinical Pathology)
1032 E JACKSON ST
MEDFORD, OR 97504
Pathology (Anatomic Pathology & Clinical Pathology)
1032 E JACKSON ST
MEDFORD, OR 97504
Pathology (Anatomic Pathology & Clinical Pathology)
1032 E JACKSON ST
MEDFORD, OR 97504
Pathology (Anatomic Pathology & Clinical Pathology)
1032 E JACKSON ST
MEDFORD, OR 97504

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 Vista Pathology Laboratory, LLC's NPI number?

The NPI number for Vista Pathology Laboratory, LLC is 1487928420. It was assigned to this organization in the NPPES registry on March 7, 2012.

Where is Vista Pathology Laboratory, LLC located?

Vista Pathology Laboratory, LLC is located at 1032 E Jackson St, Medford, OR 97504. The listed phone number is (541) 770-4559.

What is Vista Pathology Laboratory, LLC's specialty?

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

Does Vista Pathology Laboratory, LLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Vista Pathology Laboratory, LLC accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Vista Pathology Laboratory, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vista Pathology Laboratory, LLC was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.