NPIMap

Organization Active NPI

Finan Dermatopathology Laboratory, P.C.

  • Clinical Medical Laboratory
  • Atlanta, GA
National Provider Identifier
1497755649
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
060-201 Issued in GA
Legal business name
FINAN DERMATOPATHOLOGY LABORATORY, P.C.
Practice address
1200 Lake Hearn Drive
Suite 300
Atlanta, GA 30328-4408
Phone
(404) 851-1766
Fax
(404) 851-1767
NPI assigned
Jul 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Marian C. Finan, M.D.
Title
Laboratory Director
Phone
(404) 851-1766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 060-201 GA Primary

Addresses

Primary practice location

1200 Lake Hearn Drive
Suite 300
Atlanta, GA 30328-4408

Mailing address

1200 Lake Hearn Drive
Suite 300
Atlanta, GA 30328-4408
Phone (404) 851-1766

Other identifiers 2

IdentifierTypeStateIssuer
CN1953OtherRR MEDICARE
416841123AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090115000111 GA Part B Supplier - Independent Clinical Laboratory 1557350584 Receives reassigned benefits from 6 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

1200 Lake Hearn Dr NE
Ste 300
Sandy Springs, GA 30319
Phone (404) 851-1766

6095 Barfield Rd
Ste 200
Sandy Springs, GA 30328
Phone (404) 256-2688

4500 Hugh Howell Rd
Ste 600
Tucker, GA 30084
Phone (404) 246-5226

Practitioners & affiliated clinicians

Practitioners 7

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": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1497755649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LAKE HEARN DRIVE",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284408",
            "telephone_number": "404-851-1766",
            "fax_number": "404-851-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAKE HEARN DRIVE",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284408",
            "telephone_number": "404-851-1766",
            "fax_number": "404-851-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINAN DERMATOPATHOLOGY LABORATORY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "FINAN",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "404-851-1766",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "060-201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN1953",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416841123A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.