1487663860 NPI number — LABORATORY OF DERMATOPATHOLOGY ADX, LLC

Table of content: (NPI 1487663860)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487663860 NPI number — LABORATORY OF DERMATOPATHOLOGY ADX, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LABORATORY OF DERMATOPATHOLOGY ADX, LLC
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:
Provider Other Organization Name Type Code:
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:
1487663860
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/28/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11025 RCA CENTER DR
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
PALM BEACH GARDENS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33410-4269
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-514-5822
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
80 CROSSWAYS PARK DRIVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
WOODBURY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11797-2047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-944-3883
Provider Business Practice Location Address Fax Number:
516-833-2936
Provider Enumeration Date:
08/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GRATTENDICK
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
561-514-5822

Provider Taxonomy Codes

  • Taxonomy code: 207ZD0900X , with the licence number:  PFI 3199 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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