Shoals Pathology Associates Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

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

Aug 13, 2008

Last updated

Sep 7, 2011By the provider in NPPES

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

Dr. Edward M Kramer, M.D.

Title

Vice President

Phone

(610) 550-3000

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1487800256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 FAIRWAY DRIVE",
            "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": "2008-08-13",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-550-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "01D0641610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015149",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529902810",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoals Family Chiropractic, LLC
• Shoals Family Clinic
• Shoals Health Group LLC
• Shoals Orthopedics and Sports Medicine
• Shoals Pathology Associates Inc
• Shoals Premier Medical LLC
• Shoals Radiology Associates PC (Open MRI of North Alabama)
• Shoals Rehab Professionals LLC
• Shoals Smile by Design PC
• Shoals Smile by Design,PC (Jamine C. Rogers)

• Anatomic Pathology & Clinical Pathology Physician in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.