Bayless Pathmark INC
Pathology, Anatomic Pathology & Clinical Pathology in Cleveland, OH. Organization (NPI-2).
Details
- NPI
- 1629267232
- Entity type
- Organization (NPI-2)
- Legal business name
- Bayless Pathmark INC
- Organization subpart
- Yes
- Enumeration date
- Oct 19, 2007
- Certification date
- Feb 21, 2020
- Last updated
- Feb 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | Yes |
Practice location
Southwest General Health Center18697 Bagley Road, Laboratory Services
Cleveland, OH 44130
Phone 440-826-0384 · Fax 440-826-1910
Mailing address
19250 Bagley Rd Ste 101Middleburg Heights, OH 44130-3348
Phone 440-826-0384
Authorized official
Yilan Chang
President
4408260384
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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