Dermatopathology Laboratory of the Midsouth Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

207N00000X Issued in TN

Legal business name

DERMATOPATHOLOGY LABORATORY OF THE MIDSOUTH INC

Practice address

4301 Hillsboro Pike
Suite 222
Nashville, TN 37215-3345

Phone

(615) 386-9719

Fax

(615) 386-0587

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James P Fields, MD

Title

Authorized Official of Organization

Phone

(615) 386-9719

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295894970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 HILLSBORO PIKE",
            "address_2": "SUITE 222",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153345",
            "telephone_number": "615-386-9719",
            "fax_number": "615-386-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 HILLSBORO PIKE",
            "address_2": "SUITE 222",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153345",
            "telephone_number": "615-386-9719",
            "fax_number": "615-386-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOPATHOLOGY LABORATORY OF THE MIDSOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL OF ORGANIZATION",
        "authorized_official_telephone_number": "615-386-9719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "2178",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "207N00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401879",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Deridder, RN
• Amanda L Derington, MD
• Christina Derleth, M.D.
• Dermatology Associates of Nashville PLLC
• Dermatology Consultants, PC
• Terence Dermody
• Ava Derr
• Gwynn Derrick
• Haevin Derrick, B.S.
• Joannah Derrick

• Clinical Medical Laboratory in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Medical Laboratory in Tennessee

• 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.