IndividualActive
Timothy Miller
NPI 1568923605 · Clinical Pathology/Laboratory Medicine Physician · Fargo, ND
Provider details
- NPI number
- 1568923605
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- MDRE.ML.60952186 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
4840 23rd Ave S
Fargo, ND 58104-9136
Phone: (701) 417-6999
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5074
Sioux Falls, SD 57117-5074
Registry dates
- Enumerated
- 2019-03-29
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.