TETON PATHOLOGY, PC
NPI 1780027953
Clinical Medical Laboratory in Jackson, WY

Active since April 08, 2013
625 E BROADWAY AVE, JACKSON, WY 83001(307) 733-3636 Get Directions Write a Review

NPPES record last updated: April 8, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Teton Pathology, Pc NPPES

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

TETON PATHOLOGY, PC (NPI 1780027953) is a healthcare organization registered as a clinical medical laboratory in Jackson, Wyoming and active in the NPI registry since April 2013. The organization lists Lars Conway, President, as its authorized official.

NPPES Registry Identity

NPI1780027953
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameTETON PATHOLOGY, PC
Location Address625 E BROADWAY AVEJackson, WY 83001-8642
Mailing AddressPo Box 4940Jackson, WY 83001-4940 · (612) 801-6060
Organization SubpartNo
Authorized OfficialLars ConwayPresident · (612) 801-6060
Enumeration DateApril 8, 2013
✔ NPI 1780027953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in WY · 9164A
Definition
(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.
625 E BROADWAY AVE, Jackson, WY 83001

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teton Pathology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Teton Pathology, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pathology
NPI 1013969211
625 E BROADWAY AVE
Jackson, WY 83001
(307) 733-6418
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1679534432
13103 E MANSFIELD AVE
Spokane Valley, WA 99216
(509) 892-2700
✔ PECOS✔ Accepts Medicare427 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 Teton Pathology, PC's NPI number?

The NPI number for Teton Pathology, PC is 1780027953. It was assigned to this organization in the NPPES registry on April 8, 2013.

Where is Teton Pathology, PC located?

Teton Pathology, PC is located at 625 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 733-3636.

What is Teton Pathology, PC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Teton Pathology, PC enrolled in Medicare?

Yes. Teton Pathology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Teton Pathology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pathology, reassign their Medicare billing to Teton Pathology, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Teton Pathology, PC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Teton Pathology, PC 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 Teton Pathology, PC was last updated on April 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.