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VISTA PATHOLOGY LABORATORY, LLC
NPI 1649544685
Pathology - Anatomic Pathology & Clinical Pathology in Gold Beach, OR

Active since March 07, 2012
94220 4TH ST, GOLD BEACH, OR 97444(800) 445-8085 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: October 25, 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 1649544685) is a healthcare organization registered as an anatomic pathology & clinical pathology in Gold Beach, Oregon and active in the NPI registry since March 2012. The organization lists Shari L Brite, Administrator, as its authorized official.

NPPES Registry Identity

NPI1649544685
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameVISTA PATHOLOGY LABORATORY, LLC
Location Address94220 4TH STGold Beach, OR 97444-7756
Mailing AddressPo Box 1000Medford, OR 97501-0071 · (541) 770-4559 · Fax (541) 770-4511
Phone(800) 445-8085
Organization SubpartNo
Authorized OfficialShari L BriteAdministrator · (541) 770-4559
Enumeration DateMarch 7, 2012
Last NPPES UpdateApril 18, 2012
✔ NPI 1649544685 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.
94220 4TH ST, Gold Beach, OR 97444
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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

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.

StateEnrollment IDDue date
StateOregonEnrollment IDO20120522001339Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Vista Pathology Laboratory, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (12)

Eleonora Fiorletta Quiroga, M.D.
Pathology
NPI 1578171435
1032 E JACKSON ST
Medford, OR 97504
(541) 770-4559
✔ PECOS✔ Accepts Medicare80 mi
Jacob Grange, M.D.
Pathology
NPI 1508200833
1032 E JACKSON ST
Medford, OR 97504
(541) 770-4559
✔ PECOS✔ Accepts Medicare80 mi
Michael Kyle, M.D.
Pathology
NPI 1356584106
1032 E JACKSON ST
Medford, OR 97504
(541) 770-4559
✔ PECOS✔ Accepts Medicare80 mi
Shannon May, MD
Pathology
NPI 1306473616
1032 E JACKSON ST
Medford, OR 97504
(541) 770-4559
✔ PECOS✔ Accepts Medicare80 mi
Michael Wang, M.D., PH.D.
Pathology
NPI 1265871032
1032 E JACKSON STREET
Medford, OR 97504
(541) 770-4559
✔ PECOS✔ Accepts Medicare80 mi
Anne Huang, M.D.
Pathology
NPI 1720209109
2825 E BARNETT RD
Medford, OR 97504
(541) 789-4191
✔ PECOS✔ Accepts Medicare82 mi
Allison Loudermilk, M.D.
Pathology
NPI 1558366674
2825 E BARNETT RD
Medford, OR 97504
(541) 789-4191
✔ PECOS✔ Accepts Medicare82 mi
Kristen Basnet, MD
Pathology
NPI 1689012304
1124 COLUMBIA ST STE 200
Seattle, WA 98104
(206) 576-6050
✔ PECOS✔ Accepts Medicare373 mi
Melissa Kahn, M.D.
Pathology
NPI 1225250012
8700 BEVERLY BLVD
West Hollywood, CA 90048
(818) 338-8103
✔ PECOS✔ Accepts Medicare662 mi
Nichole Steidler, MD
Pathology
NPI 1962645986
1255 W WASHINGTON ST
Tempe, AZ 85281
(602) 685-5211
✔ PECOS✔ Accepts Medicare918 mi
Geoffrey Turner, MD
Pathology
NPI 1417109950
2650 RIDGE AVE DEPARTMENT OF PATHOLOGY, EVANSTON HOSPITAL
Evanston, IL 60201
(847) 570-2779
✔ PECOS✔ Accepts Medicare1,869 mi
Bryan Wu, M.D.
Pathology
NPI 1043339294
1320 S DIXIE HWY
Coral Gables, FL 33146
(305) 243-9462
✔ PECOS✔ Accepts Medicare2,743 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1649544685. 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 94220 4th St, Gold Beach, OR 97444. The listed phone number is (800) 445-8085.

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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.