NPIMap

Organization Active NPI

Duckworth Laboratories Inc.

  • Anatomic Pathology Physician
  • Memphis, TN
National Provider Identifier
1205173770
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
3282 Issued in TN
Legal business name
DUCKWORTH LABORATORIES INC.
Practice address
1211 Union Ave
Suite 300
Memphis, TN 38104-6638
Phone
(901) 725-7551
Fax
(901) 725-9721
NPI assigned
Jan 3, 2013
Last updated
Jan 18, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
DUCKWORTH PATHOLOGY GROUP INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Dorothy L Black, CHCO
Title
Compliance Officetr
Phone
(901) 725-7551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 3282 TN Primary

Addresses

Primary practice location

1211 Union Ave
Suite 300
Memphis, TN 38104-6638

Mailing address

1211 Union Ave
Suite 300
Memphis, TN 38104-6638
Phone (901) 725-7551

National Provider Directory

National Provider Directory
Part of
Med Lab

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1205173770",
    "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 LABORATORIES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUCKWORTH PATHOLOGY GROUP INC.",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMPLIANCE OFFICETR",
        "authorized_official_telephone_number": "901-725-7551",
        "authorized_official_credential": "CHCO"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TN",
            "license": "3282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.