{"npi":"1407040827","type":"NPI-2","status":"active","name":{"display":"Raleigh Pathology Resources INC","other":[],"organization_name":"RALEIGH PATHOLOGY RESOURCES INC","authorised_official":"Sukjung Koh"},"specialty":{"primary_taxonomy":"207ZP0102X","primary_taxonomy_description":"Anatomic & Clinical Pathology","slug":"pathology","schema_org_specialty":"Pathology","all":[{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":true,"state":"WV","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1710 HARPER RD","city":"BECKLEY","state":"WV","postal_code":"258013357","country_code":"US","phone":"3042564157"},{"purpose":"MAILING","street_1":"39 FOX SPARROW RD","city":"BECKLEY","state":"WV","postal_code":"258013687","country_code":"US","phone":"3042564157"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0204127000","state":"WV","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-08-29","last_updated":"2007-09-19","_meta":{"source":"NPPES","snapshot_date":"2007-09-19","doc_url":"https://findmynpi.com/api"}}