NPIMap

Organization Active NPI

Skin Diagnostics Group, PC

  • Clinical Medical Laboratory
  • Homewood, AL
National Provider Identifier
1689922668
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
25042 Issued in AL
Legal business name
SKIN DIAGNOSTICS GROUP, PC
Practice address
3125 Independence Dr
Suite 301
Homewood, AL 35209-4159
Phone
(205) 879-2260
Fax
(205) 879-2261
NPI assigned
Aug 22, 2012
Last updated
Aug 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Dr. James Alan Long, MDNPI 1114130408
Title
President
Phone
(205) 879-2260

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 25042 AL Primary

Addresses

Primary practice location

3125 Independence Dr
Suite 301
Homewood, AL 35209-4159

Mailing address

3125 Independence Dr
Suite 301
Homewood, AL 35209-4159
Phone (205) 879-2260

National Provider Directory

National Provider Directory

Locations

2100 16th Ave S
Ste 202
Birmingham, AL 35205
Phone (205) 933-0987

3125 Independence Dr
Ste 301
Homewood, AL 35209
Phone (205) 278-1600

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1689922668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR",
            "address_2": "SUITE 301",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094159",
            "telephone_number": "205-879-2260",
            "fax_number": "205-879-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR",
            "address_2": "SUITE 301",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094159",
            "telephone_number": "205-879-2260",
            "fax_number": "205-879-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN DIAGNOSTICS GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-879-2260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "25042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.