VISTA PATHOLOGY LABORATORY, LLC
NPI 1487928420
Pathology - Anatomic Pathology & Clinical Pathology in Medford, OR
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 4 active CLIA laboratory certificates and lists Shari L Brite, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vista Pathology Laboratory, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Vista Pathology Laboratory, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (12)
Evanston, IL 60201
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
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, ORCertificate of Compliance 38D0673288
Vista Pathology Laboratory LLC · Medford, ORCertificate of Compliance 38D2074144
Vista Pathology Laboratory LLC · Grants Pass, ORCertificate of Compliance 38D2096241
Vista Pathology Laboratory LLC · Medford, ORFrequently 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.
Is Vista Pathology Laboratory, LLC enrolled in Medicare?
Yes. Vista Pathology Laboratory, LLC is registered in the Medicare PECOS enrollment system.
When is Vista Pathology Laboratory, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Vista Pathology Laboratory, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Pathology, reassign their Medicare billing to Vista Pathology Laboratory, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vista Pathology Laboratory, LLC hold CLIA laboratory certificates?
Yes. 4 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.
# Vista Pathology Laboratory, Llc · NPI 1487928420
Anatomic Pathology & Clinical Pathology organization in Medford, Oregon. Organization record, active in the CMS NPPES registry since March 7, 2012.
## Identity
- **NPI:** 1487928420 (Entity type: Organization)
- **Enumerated:** March 7, 2012
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **Organization subpart:** No
- **Authorized official:** Shari Brite, ADMINISTRATOR
## Practice location
- **Address:** 1032 E JACKSON ST, Medford, OR 97504-7027
- **Phone:** (541) 770-4559 · **Fax:** (541) 770-4511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Oregon, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 12 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2012
- **Other identifiers:** Other 38D2036013 (OR)
- **CLIA laboratory certificates:** 4 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1487928420) · Data from the CMS NPPES public registry.