Healthcare Provider Details

I. General information

NPI: 1508129628
Provider Name (Legal Business Name): CELLNETIX PATHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2012
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2490 S WOODWORTH LOOP SUITE 410
PALMER AK
99645-7405
US

IV. Provider business mailing address

12501 E MARGINAL WAY S STE 200
TUKWILA WA
98168-5163
US

V. Phone/Fax

Practice location:
  • Phone: 866-236-8296
  • Fax:
Mailing address:
  • Phone: 844-344-4209
  • Fax: 866-721-9696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207ZI0100X
TaxonomyImmunopathology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207ZP0007X
TaxonomyMolecular Genetic Pathology (Pathology) Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: BARRY KAHN
Title or Position: PRESIDENT
Credential: MD
Phone: 425-493-5552