NPIMap

Organization Active NPI

Capitol Dermatopathology, L.L.C.

  • Clinical Medical Laboratory
  • Rockville, MD
National Provider Identifier
1689809386
Registry record updated May 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
21D1099518 Issued in MD
Legal business name
CAPITOL DERMATOPATHOLOGY, L.L.C.
Practice address
119 Autumn Wind Way
Rockville, MD 20850-2872
Phone
(240) 750-0285
NPI assigned
May 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2009

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

Authorized official

Name
Dr. Chyi-Chia Richard Lee, M.D., PH.D.
Title
Owner and Medical Director
Phone
(240) 328-6818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 21D1099518 MD Primary

Addresses

Primary practice location

119 Autumn Wind Way
Rockville, MD 20850-2872

Mailing address

119 Autumn Wind Way
Rockville, MD 20850-2872
Phone (240) 750-0285

Other names 1

  • Capitol Dermatopathology Laboratory Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243209600000",
    "number": "1689809386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AUTUMN WIND WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502872",
            "telephone_number": "240-750-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 AUTUMN WIND WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502872",
            "telephone_number": "240-750-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL DERMATOPATHOLOGY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-25",
        "last_updated": "2009-05-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHYI-CHIA",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "240-328-6818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D1099518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Dermatopathology Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2009; 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.