Active NPI
Heme Diagnostic Specialists LLC
- Anatomic Pathology & Clinical Pathology Physician
- Mandeville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD.207455
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony L. Schmidt
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 15953 | MS | |
| Hematology (Pathology) Physician | 207ZH0000X | 15953 | MS | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD.207455 | LA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 15953 | MS | |
| Clinical Pathology/Laboratory Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119947 | Medicaid | MS |
Other names 1
- Heme Diagnostic Specialists
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Mandeville, LA
- NPI 1619905916
Hematology
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.