Organization Active NPI

American Dermpath Specialists Inc

  • Clinical Medical Laboratory
  • Coral Springs, FL
National Provider Identifier
1619080009
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D1023742 Issued in FL
Legal business name
AMERICAN DERMPATH SPECIALISTS INC
Practice address
8130 Royal Palm Blvd
Suite 201
Coral Springs, FL 33065-5703
Phone
(954) 232-9479
Fax
(954) 421-3201
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Mrs. Michelle Schlecker
Title
Office Manager
Phone
(954) 421-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D1023742 FL Primary

Addresses

Primary practice location

8130 Royal Palm Blvd
Suite 201
Coral Springs, FL 33065-5703

Mailing address

8130 Royal Palm Blvd
Suite 201
Coral Springs, FL 33065-5703
Phone (954) 232-9479

Other identifiers 1

IdentifierTypeStateIssuer
L9279OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

8130 Royal Palm Blvd
Ste 201
Coral Springs, FL 33065
Phone (954) 421-3200

8190 Royal Palm Blvd
Ste 204
Coral Springs, FL 33065
Phone (954) 242-9287

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1619080009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 ROYAL PALM BLVD",
            "address_2": "SUITE 201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655703",
            "telephone_number": "954-232-9479",
            "fax_number": "954-421-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 ROYAL PALM BLVD",
            "address_2": "SUITE 201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655703",
            "telephone_number": "954-232-9479",
            "fax_number": "954-421-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DERMPATH SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "SCHLECKER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-421-3200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D1023742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "L9279",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.