Institute for Dermatopathology, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INSTITUTE FOR DERMATOPATHOLOGY, INC.

Doing business as

Ameripath Mid Atlantic

Practice address

14225 Newbrook Drive
1St Floor, Suite a
Chantilly, VA 20151

Phone

(833) 749-2637

NPI assigned

Mar 28, 2018

Organization subpart

Yes

Parent organization

AMERIPATH, INC.As reported in NPPES

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

Authorized official

Name

Nathan Sherman, MD

Title

Vice President

Phone

(703) 802-7081

Specialties & licenses 1

Addresses

Other names 1

• Ameripath Mid Atlantic Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Albany, NY
  • NPI 1265202147

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1316442668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013676",
            "telephone_number": "214-932-8029",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 NEWBROOK DRIVE",
            "address_2": "1ST FLOOR, SUITE A",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "20151",
            "telephone_number": "833-749-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR DERMATOPATHOLOGY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH, INC.",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "703-802-7081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ameripath Mid Atlantic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Infuscience, LLC
• Elizabeth Ingley
• Inova Compounding Pharmacy, LLC
• Inova Health Care Services (Inova Retail and Specialty Pharmacy)
• Inova Physician Partners, LLC
• Integrated Healthcare Systems Inc (Integrated Healthcare Centers)
• Max-Andre Isidore, LCSW
• Dixine D Iverson, COTA
• Lisa Jackson-Wardlaw, LCSW
• Catherine Elizabeth Jackson

• Clinical Medical Laboratory in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.