1891938999 NPI number — DAVIE & ASSOCIATES DERMATOPATHOLOGY

Table of content: SAHUR O OMAR (NPI 1336927136)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891938999 NPI number — DAVIE & ASSOCIATES DERMATOPATHOLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAVIE & ASSOCIATES DERMATOPATHOLOGY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
APERTURE NEXT-GEN LABORATORIES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891938999
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1508 17TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75074-6300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-433-7284
Provider Business Mailing Address Fax Number:
877-433-7284

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
609 W 15TH ST # 210
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75075-8876
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-735-3658
Provider Business Practice Location Address Fax Number:
877-433-7284
Provider Enumeration Date:
04/20/2009

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIE
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
ROBERT
Authorized Official Title or Position:
CEO / OWNER
Authorized Official Telephone Number:
877-433-7284

Provider Taxonomy Codes

  • Taxonomy code: 207ZD0900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZF0201X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZM0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0007X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207ZP0105X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: H88557 . This is a "PHYSICIAN UPIN" identifier . This identifiers is of the category "OTHER".




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