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NPI Code Detail

MEDICARE: DERMATOPATHOLOGY LABORATORY OF THE MIDSOUTH INC

MEDICARE: DERMATOPATHOLOGY LABORATORY OF THE MIDSOUTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory2178TN
2291U00000XClinical Medical Laboratory207N00000XTN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295894970
Entity Type Code : Organization
Provider Name (Legal Business Name) : DERMATOPATHOLOGY LABORATORY OF THE MIDSOUTH INC
Provider Business Mailing Address
First Line : 4301 HILLSBORO PIKE
Second Line : SUITE 222
City : NASHVILLE
State : TN
Zip : 37215-3345
Country : US
Telephone Number : 615-386-9719
Fax Number : 615-386-0587
Provider Business Practice Location Address
First Line : 4301 HILLSBORO PIKE
Second Line : SUITE 222
City : NASHVILLE
State : TN
Zip : 37215-3345
Country : US
Telephone Number : 615-386-9719
Fax Number : 615-386-0587
Authorized Official
Title or Position : AUTHORIZED OFFICIAL OF ORGANIZATION
Name : DR. JAMES P FIELDS
Credential : MD
Telephone Number : 615-386-9719
Provider Enumeration Date : 12/08/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1679585822 — CARLA R RETIEF M.D.
Practice Location Address:
4301 HILLSBORO PIKE , SUITE 200
NASHVILLE, TN
37215-3345
Practice Phone: 615-383-6092
Practice Fax: 615-292-8424
1578632642 — DR. JILL DEBONA M.D.
Practice Location Address:
4301 HILLSBORO PIKE , SUITE 220
NASHVILLE, TN
37215-3345
Practice Phone: 615-383-4554
Practice Fax: 615-383-4065
1851460919 — DR. DAVID KIRK BARTON M.D.
Practice Location Address:
4301 HILLSBORO PIKE , 220
NASHVILLE, TN
37215-3345
Practice Phone: 615-383-4415
Practice Fax: 615-383-4065
1225184542 — DR. CATHRYN YARBROUGH PH.D.
Practice Location Address:
4301 HILLSBORO PIKE , SUITE 220
NASHVILLE, TN
37215-3345
Practice Phone: 615-383-3138
Practice Fax:
1235265901 — DR. D. WINSTON THAXTON 111
Practice Location Address:
4301 HILLSBORO PIKE , 330
NASHVILLE, TN
37215-3345
Practice Phone: 615-297-7547
Practice Fax: 615-297-7576
1447374491 — DR. JAMES PERRY FIELDS MD
Practice Location Address:
4301 HILLSBORO PIKE , SUITE 200
NASHVILLE, TN
37215-3345
Practice Phone: 615-383-6092
Practice Fax: 615-292-8424

Directions to “DERMATOPATHOLOGY LABORATORY OF THE MIDSOUTH INC ” Practice Location

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