Organization Active NPI

Mosaic Pathology Consultants, PLLC

  • Specialist
  • Collierville, TN
National Provider Identifier
1649595703
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MOSAIC PATHOLOGY CONSULTANTS, PLLC
Practice address
1318 Marsh Creek LN
Collierville, TN 38017-3940
Phone
(901) 850-3582
Fax
(866) 359-8798
NPI assigned
Apr 1, 2010
Organization subpart
Yes
Parent organization
MOSAIC PRIMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Mrs. Julia Dahl, M.D.
Title
President / Owner
Phone
(901) 850-3582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1318 Marsh Creek LN
Collierville, TN 38017-3940

Mailing address

1318 Marsh Creek LN
Collierville, TN 38017-3940
Phone (901) 850-3582

National Provider Directory

National Provider Directory
Part of
Mosaic Prime

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1649595703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 MARSH CREEK LN",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173940",
            "telephone_number": "901-850-3582",
            "fax_number": "866-359-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 MARSH CREEK LN",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173940",
            "telephone_number": "901-850-3582",
            "fax_number": "866-359-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC PATHOLOGY CONSULTANTS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOSAIC PRIME",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "901-850-3582",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.