INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOGY, INC., IMD PATH
NPI 1588629919
Clinical Medical Laboratory in Berkeley, CA

NPI Status: Active since April 19, 2006

Contact Information

3017 TELEGRAPH AVE
SUITE 100
BERKELEY, CA
ZIP 94705
Phone: (510) 606-8787
Fax: (866) 944-8050

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NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: July 12, 2026.

Record update history: Apr 11, 2017, Mar 15, 2017 (2 updates tracked since 2017).

  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 05D0603412
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 03-14-2027

About INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOGY, INC., IMD PATH

This page provides the complete NPI Profile along with additional information for Integrated Molecular Diagnostics Pathology, Inc., Imd Path, a provider established in Berkeley, California operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1588629919 assigned on April 2006. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Integrated Molecular Diagnostics Pathology, Inc., Imd Path. The authorized official of this NPI record is Mr. Israel Villasenor (Executive Vp/secretary)

NPI
1588629919
Provider Legal Name
PATHOLOGY SERVICES INC.
Other Organization Name
INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOGY, INC., IMD PATH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3017 TELEGRAPH AVE SUITE 100 BERKELEY, CA 94705
Location Phone
(510) 606-8787
Location Fax
(866) 944-8050
Mailing Address
1900 THE ALAMEDA SUITE 530 SAN JOSE, CA 95126
Mailing Phone
(866) 944-8050
Mailing Fax
(866) 944-8050
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-19-2006
Last Update Date
04-11-2017
Code Navigator

Establishments like Integrated Molecular Diagnostics Pathology, Inc., Imd Path are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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

MR. ISRAEL VILLASENOR

Authorized Official Title
EXECUTIVE VP/SECRETARY
Authorized Official Phone
(831) 818-4051

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cell examination of specimen, selective cellular enhancement technique

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

This service was performed 155 times for 143 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus

This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.

This service was performed 10,102 times for 973 patients

Evaluation of fine needle aspirate with interpretation and report

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

This service was performed 23 times for 21 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

This service was performed 26 times for 24 patients

Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure

Microscopic genetic analysis of tissue is a detailed lab process that examines your cells' genetic material. If more than one stain procedure is needed, it's termed an 'additional multiplex stain procedure'. This helps to highlight different components within your cells, aiding in accurate diagnosis and treatment planning.

This service was performed 113 times for 39 patients

Microscopic genetic analysis of tissue, manual, initial procedure

Microscopic genetic analysis of tissue is a test that examines your cells under a microscope. This helps to identify any genetic changes that could be causing health issues. It's the first step in a series of tests to pinpoint the root cause of your symptoms.

This service was performed 32 times for 18 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 328 times for 231 patients

Pathology examination of tissue using a microscope, limited examination

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

This service was performed 12 times for 11 patients

Pathology examination of tissue using a microscope, moderately low complexity

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

This service was performed 36 times for 34 patients

Special stained specimen slides to examine tissue including interpretation and report

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

This service was performed 15 times for 15 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 545 times for 154 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 268 times for 247 patients

Special stained specimen slides to identify organisms including interpretation and report

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

This service was performed 87 times for 49 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

This service was performed 65 times for 65 patients

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
05D0603412
Facility Type
Independent
Certificate Effective Date
March 15, 2025
Certificate Expiration Date
March 14, 2027
Laboratory Director
DR. RAJAN DEWAR
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Integrated Molecular Diagnostics Pathology, Inc., Imd Path 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 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 1588629919, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
9
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 8 → 16 → 7 6 → 12 → 3 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 6 + 8 + 1 + 2 + 2 + 1 + 8 + 9 + 2 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1588629919.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Dentist (Endodontics)
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Dentist
3017 TELEGRAPH AVE, #300
BERKELEY, CA 94705
Dentist (Endodontics)
3017 TELEGRAPH AVE, SUITE 200
BERKELEY, CA 94705
Audiologist-Hearing Aid Fitter
3017 TELEGRAPH AVE, STE. 230
BERKELEY, CA 94705
Audiologist-Hearing Aid Fitter
3017 TELEGRAPH AVE, STE. 230
BERKELEY, CA 94705
Dentist (Endodontics)
3017 TELEGRAPH AVE, SUITE 200
BERKELEY, CA 94705
Social Worker (Clinical)
3017 TELEGRAPH AVE
BERKELEY, CA 94705
Community Health Worker
3017 TELEGRAPH AVE, SUITE #320
BERKELEY, CA 94705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588629919, enumerated as an "organization" on April 19, 2006.

The provider is located at 3017 TELEGRAPH AVE SUITE 100 BERKELEY, CA 94705 and the phone number is (510) 606-8787.

Clinical Medical Laboratory with taxonomy code 291U00000X.