Dermpath Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DERMPATH LAB LLC

Practice address

1599 NW 9TH Ave
Suite 4
Boca Raton, FL 33486-1310

Phone

(561) 393-8578

Fax

(561) 393-8574

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Russel Selwyn Glaun, M.D.NPI 1265468417

Title

Manager

Phone

(561) 706-4843

Specialties & licenses 1

Addresses

Other names 1

• DermPath Lab Doing business as

Practitioners 1

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

• Russel S Glaun, MD

  • Dermatopathology Physician
  • Boca Raton, FL
  • NPI 1265468417
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295879278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 NW 9TH AVE",
            "address_2": "SUITE 4",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861310",
            "telephone_number": "561-393-8578",
            "fax_number": "561-393-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 NW 9TH AVE",
            "address_2": "SUITE 4",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861310",
            "telephone_number": "561-393-8578",
            "fax_number": "561-393-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMPATH LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLAUN",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_middle_name": "SELWYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-706-4843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DermPath Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Peter Dermarkarian
• Dermatology Clinic, PA
• Dermatology Group of Florida PA
• Dermatology of Boca LLC
• Dermpartners Inc
• Dero Pain Specialists LLC
• Jennifer Deronville Stanley
• Derun Clinic
• Kishan Ketan Desai, MD
• Malika Chitranjan Desai, MD

• Clinical Medical Laboratory in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.