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Contact Information

DERMATOPATH LAB, INC.
555 PLEASANT ST
SUITE 106
ATTLEBORO, MA02703-2400
 Phone: 508-226-5540
 Fax: 508-226-9619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOPATH LAB, INC.

NPI Number 1275589624
LBN Legal business name DERMATOPATH LAB, INC.
Authorized official YVONNE HINES - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 12/05/2007 - About 19 years ago
Identifiers
MA License # 2413
MA Medicaid 0805548
RI Medicaid 9418065
MA Other 228418 BCBS
MA Other C028629 CHAMPUS
MA Other 4754 MIR HARVARD/PILGRIM
MA Other 0013986 NHP
MA Other 607206 TUFTS
MA Other 350062 UHC
RI Other 1847-0 BCBS
RI Other 1171 NHP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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