Skin Pathology Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D0656150 Issued in OH

Legal business name

SKIN PATHOLOGY SERVICES INC

Practice address

2660 E Market St
Warren, OH 44483-6204

Phone

(330) 393-4003

Fax

(330) 393-0074

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert T Brodell, MD

Title

Laboratory Director/President

Phone

(330) 393-4003

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1117/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1629063938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836204",
            "telephone_number": "330-393-4003",
            "fax_number": "330-393-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836204",
            "telephone_number": "330-393-4003",
            "fax_number": "330-393-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN PATHOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "BRODELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "330-393-4003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0656150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0602922",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannette Singleton, LICDC
• Ashlea Madison Sinkewich, CDCA
• Melissa Lyn Sipe, CNP
• Eric J Sitch, MPT
• Siva P Kurup MD Inc
• Ruth E Skornicka, CRNA
• Matthew John Skurich, DDS
• Kimberly Lee Slater
• Emily Slattery, MT
• Keyonna M Slaughter

• Clinical Medical Laboratory in Warren, OH
• Providers in Warren, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.