OrganizationActive
Diagnostic Pathology Medical Group, Inc.
NPI 1417636093 · Anatomic Pathology & Clinical Pathology Physician · Carson City, NV
Provider details
- NPI number
- 1417636093
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeanette Boado, Billing Supervisor(916) 447-6267
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 Medical Pkwy
Carson City, NV 89703-4625
Phone: (916) 447-6267
Fax: (916) 456-5872
Street-level locationGet directions
Mailing address
3301 C St Ste 200e
Sacramento, CA 95816-3363
Registry dates
- Enumerated
- 2023-07-12
- Last updated
- 2023-07-12
- Certified
- 2023-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.