Active NPI
Ameripath Tucson Inc
Doing business as Dermpath Diagnostics
- Dermatopathology (Pathology) Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 03D0980494
- Legal business name
- AMERIPATH TUCSON INC
- Doing business as
- Dermpath Diagnostics
- Practice address
- 630 N Alvernon Way
Tucson, AZ 85711-1843 - Phone
- (520) 320-7681
- NPI assigned
- Jan 11, 2007
- Last updated
- Aug 19, 2026
- Organization subpart
- Yes
- Parent organization
- AMERIPATH INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darren Thomas Wheeler
- Title
- Vice President
- Phone
- (866) 697-8378
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 03D0980494 | AZ | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 03D0980494 | AZ | Primary |
Addresses
Primary practice location
630 N Alvernon Way
Tucson, AZ 85711-1843
Mailing address
4770 Regent Blvd
Irving, TX 75063-2445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03D0980494 | Other | AZ | CLIA |
| 943060 | Medicaid | AZ |
Other names 1
- Dermpath Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080303000481 | AZ | Part B Supplier - Independent Clinical Laboratory | 4981688454 |
3 other NPIs on this enrollment Practice locations: Mesa, AZ; Scottsdale, AZ; Tucson, AZ |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Ameripath Arizona
- Clinical Medical Laboratory
- Phoenix, AZ
- NPI 1073585733
O20080303000481
-
- Dermatopathology (Pathology) Physician
- Tucson, AZ
- NPI 1972332385
O20080303000481
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0980494 | Ameripath Tucson, Inc | Compliance | May 13, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Dermatopathology (Pathology) Physician
- Tucson, AZ
- NPI 1255421749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1497805733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 REGENT BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750632445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N ALVERNON WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111843",
"telephone_number": "520-320-7681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERIPATH TUCSON INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERIPATH INC.",
"enumeration_date": "2007-01-11",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "866-697-8378"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "AZ",
"license": "03D0980494",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "AZ",
"license": "03D0980494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "03D0980494",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "943060",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dermpath Diagnostics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dermpath Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
- American Current Care of Arizona, P.a. (Concentra Urgent Care)
- American Current Care of Arizona, P.a. (Concentra Urgent Care)
- American Current Care of Arizona, P.a. (Concentra Urgent Care)
- American Indian Association of Tucson, Inc. (Tucson Indian Center)
- American Pony Express, Inc. (Allstate Cab Company)
- Ameripath Tucson Inc
- Ameripath Tucson, Inc
- Amerita, Inc.
- Krishna Chaitanya Amerneni
- Amg Medical Tucson LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.