Duckworth Pathology Group, Inc.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

DUCKWORTH PATHOLOGY GROUP, INC.

Practice address

1211 Union Ave
Suite 300
Memphis, TN 38104-6638

Phone

(901) 725-7551

Fax

(901) 725-9721

NPI assigned

Dec 6, 2005

Organization subpart

No

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

Authorized official

Name

Dorothy L Black

Title

Managed Care Coordinator

Phone

(901) 725-7551

Specialties & licenses 1

Addresses

Tax ID family

Med Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Duckworth Pathology Group Reference Lab

  • Clinical Medical Laboratory
  • Memphis, TN
  • NPI 1144595208
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan D Boom, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1265416333
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1154305779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE",
            "address_2": "SUITE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046638",
            "telephone_number": "901-725-7551",
            "fax_number": "901-725-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE",
            "address_2": "SUITE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046638",
            "telephone_number": "901-725-7551",
            "fax_number": "901-725-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCKWORTH PATHOLOGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
        "authorized_official_telephone_number": "901-725-7551"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy M Ducham, RDH
• Erica Renee Ducking, PHARMD
• Duckworth Laboratories Inc.
• Duckworth Pathology Group Reference Lab
• Duckworth Pathology Group, Inc.
• Cody Raine Duckworth, PSY.D.
• Jeremy Duckworth
• Malissa Elaine Duckworth, LCSW
• Mary A Duckworth, B.A.
• Nancy H Duckworth, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.