Cutaneous and Maxillofacial Pathology Laboratory PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CUTANEOUS AND MAXILLOFACIAL PATHOLOGY LABORATORY PC

Practice address

9292 N Meridian St Ste 210
Indianapolis, IN 46260-1828

Phone

(317) 432-2048

Fax

(317) 843-2478

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Debbie Rowland

Title

Office Manager

Phone

(317) 843-2204

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1326509811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9292 N MERIDIAN ST STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601828",
            "telephone_number": "317-834-2204",
            "fax_number": "317-843-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9292 N MERIDIAN ST STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601828",
            "telephone_number": "317-432-2048",
            "fax_number": "317-843-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTANEOUS AND MAXILLOFACIAL PATHOLOGY LABORATORY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-843-2204"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236370A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa J. Cushman, M.S., PH.D.
• Emma Cusic, LSW
• Jordan Haymond Cuskaden, MD
• Sarah Catherine Cuskaden, LMHC
• Custom Med Apothecary
• Cutaneous and Maxillofacial Pathology Laboratory, PC
• Schuyler Cutchin
• William B Cutcliff, MD
• Gordon B Cutler Jr., MD
• Shelby A. Cutlip, NP

• Clinical Medical Laboratory in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.