Red Mountain Diagnostics, LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

RED MOUNTAIN DIAGNOSTICS, LLC

Practice address

140 Oxmoor Blvd Ste 140
Homewood, AL 35209

Phone

(205) 224-4490

Fax

(205) 224-4524

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Karen Lake

Title

Administrator

Phone

(205) 313-4628

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 2

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

• William T Devos, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Homewood, AL
  • NPI 1730185489
  Medicare reassignment NPD
• Donald R Simmons, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Homewood, AL
  • NPI 1164428892
  Medicare reassignment NPD

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1225523608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OXMOOR BLVD STE 140",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095985",
            "telephone_number": "205-224-4490",
            "fax_number": "205-224-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OXMOOR BLVD STE 140",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-224-4490",
            "fax_number": "205-224-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-313-4628"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Homewood, AL
• Providers in Homewood, AL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.