Organization Active NPI

Heme Diagnostic Specialists LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Mandeville, LA
National Provider Identifier
1629528989
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD.207455 Issued in LA
Legal business name
HEME DIAGNOSTIC SPECIALISTS LLC
Practice address
800 N Causeway Blvd Ste 300
Mandeville, LA 70448-4664
Phone
(813) 860-4969
Fax
(888) 371-7962
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Anthony L. SchmidtNPI 1619905916
Title
Ceo
Phone
(601) 918-0669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZB0001X 15953 MS
Hematology (Pathology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZH0000X 15953 MS
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0102X MD.207455 LA Primary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0102X 15953 MS
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0105X MD.207455 LA

Addresses

Primary practice location

800 N Causeway Blvd Ste 300
Mandeville, LA 70448-4664

Mailing address

117 Hollenden LN
Madison, MS 39110-9789

Other practice location 1

555 Heritage Dr Ste 114
Jupiter, FL 33458-5286
Phone (601) 918-0669

Other practice location 2

1 Westbrook Corporate Ctr Ste 300
Westchester, IL 60154-5709
Phone (813) 860-4969

Other practice location 3

117 Hollenden Ln
Madison, MS 39110-9789
Phone (813) 860-4969

Other identifiers 1

IdentifierTypeStateIssuer
0119947MedicaidMS

Other names 1

  • Heme Diagnostic Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1629528989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HOLLENDEN LN",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N CAUSEWAY BLVD STE 300",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484664",
            "telephone_number": "813-860-4969",
            "fax_number": "888-371-7962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Heritage Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334585286",
            "country_code": "US",
            "telephone_number": "601-918-0669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Westbrook Corporate Ctr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601545709",
            "country_code": "US",
            "telephone_number": "813-860-4969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Hollenden Ln",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391109789",
            "country_code": "US",
            "telephone_number": "813-860-4969",
            "fax_number": "888-371-7962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEME DIAGNOSTIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-918-0669"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "MS",
            "license": "15953",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Hematology",
            "state": "MS",
            "license": "15953",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD.207455",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MS",
            "license": "15953",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "LA",
            "license": "MD.207455",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119947",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heme Diagnostic Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heme Diagnostic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.