ARROWHEAD PATHOLOGY MEDICAL GROUP, INC.
NPI 1508132366
Pathology - Anatomic Pathology & Clinical Pathology in Colton, CA

NPI Status: Active since March 27, 2012

Contact Information

400 N. PEPPER AVE.
COLTON, CA
ZIP 92324
Phone: (909) 580-0010
Fax: (909) 580-0064

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 05D0643254
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About ARROWHEAD PATHOLOGY MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Arrowhead Pathology Medical Group, Inc., a provider established in Colton, California operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1508132366 assigned on March 2012. The practitioner's primary taxonomy code is 207ZP0102X with license number C0625387 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Herbert Braunstein M.d. And Robrt A. Stewart, M.d. Inc.. The authorized official of this NPI record is Dr. Carolyn Suzanne Leach M.d. (President)

NPI
1508132366
Provider Legal Name
ARROWHEAD PATHOLOGY MEDICAL GROUP, INC.
Other Organization Name
HERBERT BRAUNSTEIN M.D. AND ROBRT A. STEWART, M.D. INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
400 N. PEPPER AVE. COLTON, CA 92324
Location Phone
(909) 580-0010
Location Fax
(909) 580-0064
Mailing Address
400 N. PEPPER AVE. COLTON, CA 92324
Mailing Phone
(909) 580-0010
Mailing Fax
(909) 580-0064
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2012
Last Update Date
03-27-2012
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Location Map

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 No.
C0625387
License State
CA
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

DR. CAROLYN SUZANNE LEACH M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 580-0010

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
05D0643254
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. CAROLYN S. LEACH
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Arrowhead Pathology Medical Group, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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.
1508132366
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508234312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 2 + 3 + 4 + 3 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1508132366 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

ARROWHEAD REGIONAL MEDICAL CENTER

General Acute Care Hospital

400 N. PEPPER AVE.
COLTON, CA
ZIP 92324

(909) 580-1800

CHARLES TELESCO PA-C

Physician Assistant

400 N. PEPPER AVE.
COLTON, CA
ZIP 92324

(909) 580-6370

DR. FARABI M. HUSSAIN MD

Surgery

400 N. PEPPER AVE.
SURGERY - MOB 308
COLTON, CA
ZIP 92324

(909) 580-3353

MATTHEW D WHEALON MD

Colon & Rectal Surgery

400 N. PEPPER AVE.
MOB SUITE 308
COLTON, CA
ZIP 92324

(909) 580-3353

DR. BRUCE ANTHONY REDDIX M.D.

Pediatrics

(Neonatal-Perinatal Medicine)

400 N. PEPPER AVE.
COLTON, CA
ZIP 92324

(909) 580-3380

DR. DAVID RUCKLE MD

Orthopaedic Surgery

400 N. PEPPER AVE.
MOB 205
COLTON, CA
ZIP 92324

(909) 580-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508132366, enumerated as an "organization" on March 27, 2012.

The provider is located at 400 N. PEPPER AVE. COLTON, CA 92324 and the phone number is (909) 580-0010.

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