{"npi":"1629267232","type":"NPI-2","status":"active","name":{"display":"Bayless Pathmark INC","other":[],"organization_name":"BAYLESS PATHMARK INC","authorised_official":"Yilan Chang"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"SOUTHWEST GENERAL HEALTH CENTER","city":"CLEVELAND","state":"OH","postal_code":"44130","country_code":"US","street_2":"18697 BAGLEY ROAD, LABORATORY SERVICES","phone":"4408260384","fax":"4408261910"},{"purpose":"MAILING","street_1":"19250 BAGLEY RD STE 101","city":"MIDDLEBURG HEIGHTS","state":"OH","postal_code":"441303348","country_code":"US","phone":"4408260384"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"=========","state":"OH","issuer":"BWC"},{"type_code":"01","label":"Other","value":"=========","state":"OH","issuer":"TRICARE"},{"type_code":"05","label":"Medicaid","value":"0119535","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-10-19","last_updated":"2020-02-21","_meta":{"source":"NPPES","snapshot_date":"2020-02-21","doc_url":"https://findmynpi.com/api"}}