Valley Dermatopathology, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

04-459917 Issued in PA

Legal business name

VALLEY DERMATOPATHOLOGY, LLC

Practice address

419 Walnut St
Sewickley, PA 15143-1535

Phone

(412) 741-9741

Fax

(412) 741-9744

NPI assigned

Jan 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nancy S. House, M.D.NPI 1154329035

Title

Director

Phone

(412) 741-9741

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy House

  • Dermatopathology Physician
  • Sewickley, PA
  • NPI 1154329035
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1043299605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WALNUT ST",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431535",
            "telephone_number": "412-741-9741",
            "fax_number": "412-741-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WALNUT ST",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431535",
            "telephone_number": "412-741-9741",
            "fax_number": "412-741-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DERMATOPATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-741-9741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "04-459917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01922960",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Sewickley, PA
• Providers in Sewickley, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.