Teton Pathology, PC
NPI 1780027953 · Clinical Medical Laboratory · Jackson, WY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Teton Pathology, PC is a Clinical Medical Laboratory organization in Jackson, WY (NPI 1780027953).
Provider details
- NPI number
- 1780027953
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Lars Conway, President(612) 801-6060
- License
- 9164A (WY)
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2013-04-08
- Last updated
- 2013-04-08
Frequently asked questions
- What is Teton Pathology, PC's NPI number?
- Teton Pathology, PC's National Provider Identifier (NPI) is 1780027953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teton Pathology, PC?
- Teton Pathology, PC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Teton Pathology, PC located?
- Teton Pathology, PC's practice location on file with NPPES is 625 E Broadway Ave, Jackson, WY 83001-8642.
- What is Teton Pathology, PC's phone number?
- The practice phone number listed in the NPPES registry for Teton Pathology, PC is (307) 733-3636.
- Does Teton Pathology, PC accept Medicare?
- Teton Pathology, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Teton Pathology, PC?
- The authorized official listed on Teton Pathology, PC's NPPES record is Lars Conway, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teton Pathology, PC's NPI active?
- Yes — Teton Pathology, PC's NPI (1780027953) is active in the NPPES registry as of the last update on 2013-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.