Active NPI
Dermlab, LLC
- Dermatopathology (Pathology) Physician
- Mountain BRK, AL
National Provider Identifier
1164764528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- Legal business name
- DERMLAB, LLC
- Practice address
- 3918 Montclair Rd
Suite 105
Mountain BRK, AL 35213-2425 - Phone
- (205) 705-3550
- Fax
- (205) 705-3554
- NPI assigned
- Mar 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles A Parrish, M.D.
- Title
- Manager
- Phone
- (205) 566-8047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | Primary |
Addresses
Primary practice location
3918 Montclair Rd
Suite 105
Mountain BRK, AL 35213-2425
Mailing address
3918 Montclair Rd
Suite 105
Mountain BRK, AL 35213-2425
Phone (205) 705-3550
National Provider Directory
National Provider DirectoryLocations
3918 Montclair Rd
Ste 105
Mountain Brk, AL 35213
Phone (205) 705-3550
3918 Montclair Rd
Ste 1
Mountain Brk, AL 35213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364169600000",
"number": "1164764528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3918 MONTCLAIR RD",
"address_2": "SUITE 105",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352132425",
"telephone_number": "205-705-3550",
"fax_number": "205-705-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3918 MONTCLAIR RD",
"address_2": "SUITE 105",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352132425",
"telephone_number": "205-705-3550",
"fax_number": "205-705-3554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMLAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-25",
"last_updated": "2013-03-25",
"status": "A",
"authorized_official_last_name": "PARRISH",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "205-566-8047",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain BRK, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.