Shoals Pathology Associates Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

01D0641610 Issued in AL

Legal business name

SHOALS PATHOLOGY ASSOCIATES INC

Practice address

1800 Beverly Ave
Muscle Shoals, AL 35661-3255

Phone

(256) 383-1160

Fax

(256) 381-9755

NPI assigned

Feb 6, 2006

Organization subpart

Yes

Parent organization

AMERIPATH INCAs reported in NPPES

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

Authorized official

Name

Dr. Edward M Kramer

Title

VP

Phone

(610) 550-3000

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1346212016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 FAIRWAY DR",
            "address_2": "SUITE 400",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184207",
            "telephone_number": "561-712-6200",
            "fax_number": "561-712-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BEVERLY AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613255",
            "telephone_number": "256-383-1160",
            "fax_number": "256-381-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS PATHOLOGY ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-550-3000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "01D0641610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "531800201",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001359",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05854236",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0027663",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51054185",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shoals Radiology Associates PC
• Shoals Rehab Professionals LLC
• Shoals Smile by Design PC
• Shoals Smile by Design,PC

• Clinical Medical Laboratory in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Clinical Medical Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.