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NPI Code Detail

MEDICARE: PEAKS PATHOLOGY PC

MEDICARE: PEAKS PATHOLOGY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1407713332
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEAKS PATHOLOGY PC
Provider Business Mailing Address
First Line : 5700 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1509
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 1375 E 19TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-1114
Country : US
Telephone Number : 617-285-9548
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GREGORY OSMOND
Credential : MD
Telephone Number : 617-285-9548
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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