DERMATOPATHOLOGY SERVICES INC (NPI# 1104898873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104898873 |
| Entity Type | Organization |
| Organization Name | DERMATOPATHOLOGY SERVICES INC |
| Practice Address |
3918 Montclair Rd Suite 100 Birmingham AL 35213-2417 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 2058704897 |
| Practice Fax Number | 2058714709 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2015-04-24 |
| Authorized Official Name | DR. EDWARD M KRAMER (VICE PRESIDENT) |
| Authorized Official Telephone | 6105503000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERIPATH INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 01D0641513 | AL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7001200 | 05 | |
| LA | 1015385 | 05 | |
| TN | 1507087 | 05 | |
| AL | 000056306 | 05 | |
| AL | BCBS | 56306 | 01 |
| GA | 547254876A | 05 | |
| MS | 03884230 | 05 |
| Street Address |
3918 MONTCLAIR RD SUITE 100 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35213-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386827 | Burson T Williams IIi | Pathology | 3918 Montclair Rd, Suite 100, Birmingham, AL 35213-2425 | 2005-06-16 |
| 1487724589 | Jo Anne Jackson | Dentist | 3918 Montclair Rd, Suite 206, Birmingham, AL 35213-2418 | 2006-11-08 |
| 1831272855 | John Roger Smith | Dentist | 3918 Montclair Rd, Suite 91w, Birmingham, AL 35213-2425 | 2006-10-23 |
| 1215916978 | Deborah Sanders | Pathology | 3918 Montclair Rd, Suite 100, Birmingham, AL 35213-2425 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
| 1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
| 1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
| 1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
| Find all providers in zip 35213 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220863 | Sharon Masters | Clinical Medical Laboratory | 1930 Edwards Lake Rd Ste 138, Birmingham, AL 35235-3720 | 2019-11-23 |
| 1801348743 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 2732 7th Ave South, Birmingham, AL 35233-3406 | 2016-10-26 |
| 1770940454 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 7131 Cahaba Valley Road, Birmingham, AL 35242 | 2016-01-26 |
| 1669879292 | Castle Medical, LLC | Clinical Medical Laboratory | 1401 B Providence Park, Suite 1406-1407, Birmingham, AL 35242 | 2014-11-25 |
| 1730582594 | Southeast Clinical Laboratories LLC | Clinical Medical Laboratory | 3621 3rd Ave S, Birmingham, AL 35222-1818 | 2014-10-07 |
| 1780014159 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 806 Saint Vincents Drive, Suite 430, Birmingham, AL 35205-1616 | 2013-11-20 |
| 1801130448 | Alacare Home Health Services | Clinical Medical Laboratory | 2970 A Lorna Road, Birmingham, AL 35216-0000 | 2012-11-20 |
| 1164775862 | Southern Lab Partners, LLC | Clinical Medical Laboratory | 6262 Kidron Pl, Birmingham, AL 35235-2100 | 2012-10-18 |
| 1770869513 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2022 Medical Center Dr, Suite 510, Birmingham, AL 35209-6808 | 2011-10-25 |
| 1548495575 | Individualized Treatment Technologies Laboratories | Clinical Medical Laboratory | 1601 12th Ave S, First Floor, Birmingham, AL 35205-4709 | 2009-05-20 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35213 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.