Dermatopathology Associates, Pllc, NPI 1356374912
Clinical Medical Laboratory in Jackson, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1356374912
NPI Entity Type Organization
Provider Name Dermatopathology Associates, Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 3120 Old Canton Rd, Jackson, MS, US
Provider Mailing Address Po Box 3528, Jackson, MS, US, 392073528
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MD Buu T Duong
Official Position MEMBER
Phone 601-362-9851

Primary Taxonomy

Taxonomy Code

291U00000X

Taxonomy Name Clinical Medical Laboratory
Classification

Clinical Medical Laboratory

Group

Laboratories

License No. 25D0688888
License State MO
Description (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.

Business Address

Dermatopathology Associates, Pllc
3120 Old Canton Rd

Jackson, MS, US

Phone: 601-362-9851
Fax: 601-982-9025

Mailing Address

Dermatopathology Associates, Pllc
Po Box 3528
Jackson, MS, US
ZIP 392073528
Phone: 601-362-9851
Fax: 601-982-9025

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1964310 LA MEDICAID 05
690008330 RAILROAD MEDICARE 01
00120024 MS MEDICAID 05
009931780 AL MEDICAID 05
135488709 AR MEDICAID 05
640399351A BLUE CROSS BLUE SHIELD 01

Other Providers in MS, US

NPI Name Taxonomy Address

1225531486

MISS MOT, OTR/L, SCLV Shirley Blanton

Individual

Low Vision Occupational Therapist

706 Highway 82 W

Greenwood, MS

1740818343

DO Madison Leigh Lindgren

Individual

Emergency Medicine Physician

2500 N State St

Jackson, MS

1750885588

Optimum Occupational Therapy Services, Llc

Organization

Low Vision Occupational Therapist

706 Highway 82 W

Greenwood, MS

1346965811

Jacqueline Cartwright

Individual

Non-emergency Medical Transport (VAN)

3171 Quartz Dr

Hernando, MS

1932740578

MSN, APRN, FNP-C Felisa Jeannette Hall

Individual

Family Nurse Practitioner

1046 Division St

Biloxi, MS

1356066716

IDD WAIVER SERVICES Debbie Jones

Individual

Day Training/Habilitation Specialist

405 N First St

Collins, MS

1902521362

IDD WAIVER SERVICES Beverly Johnson

Individual

Day Training/Habilitation Specialist

1406 Mississippi Dr

Waynesboro, MS

1821713272

CRISIS SERVICES Jaricia Kinchen

Individual

Mental Health Counselor

934 West Dr

Laurel, MS

1922723378

IDD WAIVER SERVICES Monolisa Keyes

Individual

Day Training/Habilitation Specialist

1224 Hillcrest Dr

Laurel, MS

1770208126

IDD WAIVER SERVICES Felicia Keller

Individual

Day Training/Habilitation Specialist

405 N First St

Collins, MS

1871218222

IDD WAIVER SERVICES Sharika Jones

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

1790400141

IDD WAIVER SERVICES Loverta Jones

Individual

Day Training/Habilitation Specialist

5192 Highway 11 N

Ellisville, MS

1265157614

IDD WAIVER SERVICES Tamekia Mckines

Individual

Day Training/Habilitation Specialist

119 Chambliss Dr

Hattiesburg, MS

1548985997

Mary Fowler

Individual

Day Training/Habilitation Specialist

5192 Highway 11 N

Ellisville, MS

1386369726

IDD WAIVER SERVICES Porosha Gaines

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

1386290369

DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond

Individual

Acute Care Nurse Practitioner

232 Market St

Flowood, MS

1851016299

IDD WAIVER SERVICES Fraxine Graves

Individual

Day Training/Habilitation Specialist

1110 42nd Ave

Gulfport, MS

1215652656

IDD WAIVER SERVICES Judy Jones

Individual

Day Training/Habilitation Specialist

405 N First St

Collins, MS

1235854670

IDD WAIVER SERVICES Michael Mcdonald

Individual

Day Training/Habilitation Specialist

41 Bonhomie Rd

Hattiesburg, MS

1083339428

IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

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