Organization Active NPI

Rabkin Dermatopathology Laboratory, P.C.

  • Clinical Medical Laboratory
  • Pittsburgh, PA
National Provider Identifier
1467436188
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
021745 Issued in PA
Legal business name
RABKIN DERMATOPATHOLOGY LABORATORY, P.C.
Practice address
440 William Pitt Way
Pittsburgh, PA 15238-1330
Phone
(412) 968-9266
Fax
(412) 968-5673
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Mrs. Cherie L Johnson
Title
Billing Manager
Phone
(412) 968-9266

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X
Clinical Medical Laboratory 291U00000X 021745 PA Primary

Addresses

Primary practice location

440 William Pitt Way
Pittsburgh, PA 15238-1330

Mailing address

440 William Pitt Way
Pittsburgh, PA 15238-1330
Phone (412) 968-9266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090812000476 PA Part B Supplier - Independent Clinical Laboratory 9133273089 Practice locations: Pittsburgh, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0703470Rabkin Dermatopathology Laboratory PC440 William Pitt Way, Pittsburgh, PA 15238AccreditationOct 24, 2027

National Provider Directory

National Provider Directory

Locations

440 William Pitt Way
Pittsburgh, PA 15238
Phone (412) 968-9266

419 E 2nd Ave
Tarentum, PA 15084
Phone (412) 968-9266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1467436188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 WILLIAM PITT WAY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381330",
            "telephone_number": "412-968-9266",
            "fax_number": "412-968-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WILLIAM PITT WAY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381330",
            "telephone_number": "412-968-9266",
            "fax_number": "412-968-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABKIN DERMATOPATHOLOGY LABORATORY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "412-968-9266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "021745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.