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NPISignal

Individual Healthcare Provider

Alan Detiberiis, A.PATH, DNP

NPI Record: ActivePathology — Clinical Informatics
NPI1679097976
Henderson, Nevada

Provider's NPPES record last updated: January 20, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1679097976
Primary Specialty
Pathology — Clinical Informatics
Practice Location
Henderson, Nevada
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 9:56 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pathology

    Clinical Informatics

    Allopathic & Osteopathic Physicians

    Primary

    Physicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement and evaluate information and communication systems that enhance individual and population health outcomes, improve patient care, and strengthen the clinician-patient relationship. Clinical Informaticians use their knowledge of patient care combined with their understanding of informatics concepts, methods, and tools to: assess information and knowledge needs of health care professionals and patients; characterize, evaluate, and refine clinical processes; develop, implement, and refine clinical decision support systems; and lead or participate in the procurement, customization, development, implementation, management, evaluation, and continuous improvement of clinical information systems.

    Taxonomy code 207ZC0008X
  • Pathology

    Anatomic Pathology

    Allopathic & Osteopathic Physicians

    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.

    Taxonomy code 207ZP0101X
  • Religious Nonmedical Practitioner

    Nursing Service Related Providers

    A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.

    Taxonomy code 374K00000X

Provider-Reported License Information

Pathology (Nevada)
405787
Pathology (ZZ)
D-16-1125-1121-A
Religious Nonmedical Practitioner (Nevada)
NA
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1205 W Warm Springs Rd Ste 100

Henderson, Nevada 89014-8741

Phone: (702) 265-3033

Additional Practice Location

1208 Seminole Ln

Henderson, Nevada 89015-5565

Phone: (702) 265-3033

Record Information

Enumeration Date
July 28, 2017
Provider's NPPES Record Last Updated
January 20, 2022
Certification Date
January 15, 2022
NPISignal NPPES Dataset
August 2026

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