Active NPI
Mosaic Pathology Consultants, PLLC
- Specialist
- Collierville, TN
National Provider Identifier
1649595703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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 PRIME
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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.
-
- Clinical Medical Laboratory
- Memphis, TN
- NPI 1548479801
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.