Pinkus Dermatopathology Laboratory, PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PINKUS DERMATOPATHOLOGY LABORATORY, PC

Practice address

1314 N Macomb St
Monroe, MI 48162-3131

Phone

(616) 530-1860

NPI assigned

Feb 19, 2020

Last updated

Feb 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dina Valladares

Title

Director, Payer Enrollment

Phone

(561) 514-5822

Specialties & licenses 1

Addresses

Tax ID family

Pinkus Dermatopathology Laboratory2 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.

• Pinkus Dermatopathology Laboratory, PC

  • Clinical Medical Laboratory
  • Monroe, MI
  • NPI 1346223377
  NPD tax ID

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1255964185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 RCA CENTER DR STE 300",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104269",
            "telephone_number": "561-514-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623131",
            "telephone_number": "616-530-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKUS DERMATOPATHOLOGY LABORATORY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "DIRECTOR, PAYER ENROLLMENT",
        "authorized_official_telephone_number": "561-514-5822"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prezley Pietszak
• Stephan L Pietszak, BA
• Stacey Dawn Pilarz, RD
• Jenna Pilkington
• Kaitlin Pingilley
• Pinkus Dermatopathology Laboratory, PC
• Pinnacle Dental Group PLLC (Life Touch Smiles)
• Tracy Lynn Pittman, LPC
• Tamika Darcelle Pitts, LPN
• Annmarie Patrice Pizzo

• Anatomic Pathology & Clinical Pathology Physician in Monroe, MI
• Providers in Monroe, MI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.