NPIMap

Organization Active NPI

University of South Alabama

Doing business as USA Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Mobile, AL
National Provider Identifier
1366802597
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Doing business as
USA Pathology
Practice address
2451 Fillingim St
1St Floor
Mobile, AL 36617-2238
Phone
(251) 434-3626
Fax
(251) 445-2464
NPI assigned
Mar 1, 2016
Last updated
Mar 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF SOUTH ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Harvey Ikner
Title
Asso Admin of Ambulatory Clinics
Phone
(251) 470-1671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary

Addresses

Primary practice location

2451 Fillingim St
1St Floor
Mobile, AL 36617-2238

Mailing address

P.O. Box 40480
Mobile, AL 36640-0480
Phone (251) 434-3626

Other names 1

  • USA Pathology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
USA HLT Ser FD Medicine53 organizations share this tax ID, including this one
Part of
USA HLT Ser FD Medicine

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2451 Fillingim St
Fl 1
Mobile, AL 36617
Phone (251) 434-3626

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1366802597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "1ST FLOOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTH ALABAMA",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "IKNER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "ASSO ADMIN OF AMBULATORY CLINICS",
        "authorized_official_telephone_number": "251-470-1671"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.