Organization Active NPI

Dermlab, LLC

  • Dermatopathology (Pathology) Physician
  • Mountain BRK, AL
National Provider Identifier
1164764528
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
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

Updated by the provider on Mar 25, 2013

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)CodeLicenseStatePrimary
Dermatopathology (Pathology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.