1. Home
  2. Directory
  3. Minnesota
  4. Maplewood
  5. Pathology
  6. NPI Profile

UNIVERSITY PARK PATHOLOGISTS
NPI 1609827484
Pathology - Anatomic Pathology & Clinical Pathology in Maplewood, MN

Active since May 15, 2006CLIA 24D0651212 · Certificate of Compliance
2945 HAZELWOOD STREET, SUITE 310, MAPLEWOOD, MN 55109(651) 264-1521(651) 264-1661 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2024, Dec 8, 2017 (2 updates tracked since 2017).

About University Park Pathologists NPPES

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

UNIVERSITY PARK PATHOLOGISTS (NPI 1609827484) is a healthcare organization registered as an anatomic pathology & clinical pathology in Maplewood, Minnesota and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 7, 2027 and lists Jamie Lemieux, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1609827484
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameCENTRAL REGIONAL PATHOLOGY LABORATORIES PA
Location Address2945 HAZELWOOD STREET, SUITE 310Maplewood, MN 55109-1244
Mailing Address2945 Hazelwood Street, Suite 310Maplewood, MN 55109 · (651) 264-1521 · Fax (651) 264-1661
Phone(651) 264-1521
Fax(651) 264-1661
Organization SubpartNo
Authorized OfficialJamie LemieuxBusiness Office Manager · (651) 264-1521
Enumeration DateMay 15, 2006
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1609827484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MN · PF169
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.
2945 HAZELWOOD STREET, Maplewood, MN 55109
Open in Google Maps ↗

Other Names 1

Doing Business AsUniversity Park Pathologists

Other Identifiers 1

OtherC01224MN · Upp Medicare Grp

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Park Pathologists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to University Park Pathologists, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Jaena Wisniewski, MD
Pathology
NPI 1710032594
2945 HAZELWOOD ST STE 310
Maplewood, MN 55109
(651) 264-1500
✔ PECOS✔ Accepts MedicareSame address
Byron Simmons, MD
Pathology
NPI 1225060346
2945 HAZELWOOD ST STE 310
Maplewood, MN 55109
(651) 264-1500
✔ PECOS✔ Accepts Medicare0.1 mi
Kristi Werdin, MD
Pathology
NPI 1528099538
2945 HAZELWOOD ST STE 310
Maplewood, MN 55109
(651) 264-1500
✔ PECOS✔ Accepts Medicare0.1 mi
Wen-Wei Chung, MD
Pathology
NPI 1487672929
1875 WOODWINDS DRIVE SUITE 220
Woodbury, MN 55125
(651) 264-1500
✔ PECOS✔ Accepts Medicare8.0 mi
Joseph Leverone, MD
Pathology
NPI 1245262369
1875 WOODWINDS DR STE 220
Woodbury, MN 55125
(651) 264-1500
✔ PECOS✔ Accepts Medicare8.0 mi
Michael Mccarthy, MD
Pathology
NPI 1992365332
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare75 mi
Laurence Berg, MD
Pathology
NPI 1437153392
1836 SOUTH AVE
La Crosse, WI 54601
(608) 782-7300
✔ PECOS✔ Accepts Medicare123 mi

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

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 24D0651212

Central Regional Pathology Laboratories · Maplewood, MN
Active · expires Nov 7, 2027
CLIA Number24D0651212
Laboratory TypeIndependent
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorWen Wei Chung
Laboratory Phone(651) 264-1603
Laboratory LocationCentral Regional Pathology Laboratories2945 Hazelwood Street, Suite 310, Maplewood, MN 55109
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.

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 Central Regional Pathology Laboratories PA's NPI number?

The NPI number for Central Regional Pathology Laboratories PA is 1609827484. It was assigned to this organization in the NPPES registry on May 15, 2006. The provider is doing business as University Park Pathologists.

Where is Central Regional Pathology Laboratories PA located?

Central Regional Pathology Laboratories PA is located at 2945 Hazelwood Street Suite 310, Maplewood, MN 55109. The listed phone number is (651) 264-1521.

What is Central Regional Pathology Laboratories PA's specialty?

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

Is Central Regional Pathology Laboratories PA enrolled in Medicare?

Yes. Central Regional Pathology Laboratories PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Regional Pathology Laboratories PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Pathology, reassign their Medicare billing to Central Regional Pathology Laboratories PA. 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, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Central Regional Pathology Laboratories PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0651212) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Regional Pathology Laboratories PA was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.