THREE RIVERS PATHOLOGY PA – NPI #1003878661
Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

THREE RIVERS PATHOLOGY PA is a pathologist located in ROSEVILLE, MN. NPPES has assigned the NPI number 1003878661 to THREE RIVERS PATHOLOGY PA on April 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ZP0101X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THREE RIVERS PATHOLOGY PA below.

NPI Profile for
THREE RIVERS PATHOLOGY PA

NPI Number
1003878661
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THREE RIVERS PATHOLOGY PA
Primary location
2664 PATTON ROAD
ROSEVILLE, MN 55113
Phone: (651) 635-9700 Fax: (651) 635-9026
Mailing address
PO BOX 1450
N W 5737
MINNEAPOLIS, MN 55485-5737
Phone: (651) 635-9700 Fax: (651) 635-9026
Organization Subpart
No
Authorized Official
LARS CONWAY
PRESIDENT
Phone: (651) 635-9700
Updated
Identifiers

Identifiers for THREE RIVERS PATHOLOGY PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSMN13984TH
otherRR MEDICAREMNC03199
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0101X
- Pathology / Anatomic Pathology (Primary)
207ZC0500X
- Pathology / Cytopathology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.