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Active NPI 1548208440 Organization (Entity Type 2)

Interpath Laboratory, Inc.

Clinical Medical Laboratory • Pendleton, OR

About Interpath Laboratory, Inc. NPI 1548208440 Summary

Interpath Laboratory, Inc. is a verified healthcare organization specializing in Clinical Medical Laboratory operating in Pendleton, OR. Located at 2460 SW PERKINS AVENUE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1548208440.

Administrative operations and authorized compliance are overseen by Goldie Mandella (Manager, Billing Operations).

Facility Location & Contact Primary Location

Facility Address

2460 Sw Perkins Avenue

Pendleton, OR 97801

Telephone 5412766700

Authorized Official Information

Authorized Contact Name

MS. Goldie Mandella

Title / Role

Manager, Billing Operations

Official Telephone

5412784743

Facility Classifications & Specialties

Clinical Medical Laboratory Primary Taxonomy

NUCC Taxonomy Code: 291U00000X

(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.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active December 28, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 28, 2015

Registered at 2460 SW PERKINS AVENUE, PENDLETON, OR 97801 (Tel: 5412766700)

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Updated Business Mailing Address December 28, 2015

Registered at PO BOX 1208, PENDLETON, OR 978010780 (Tel: 5412766700)

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Organization / Clinic Name Updated December 28, 2015

Operating as INTERPATH LABORATORY, INC.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2015

Clinical Medical Laboratory (License #38D0628506 in OR)

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Initial NPI Registration & Enumeration June 03, 2006

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1548208440
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 03, 2006
Last Update: December 28, 2015

Mailing Address

Po Box 1208

Pendleton, OR 978010780

Phone: 5412766700

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.