A W Dermatopathology Service

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

19D1016329 Issued in LA

Legal business name

A W DERMATOPATHOLOGY SERVICE

Practice address

3715 Prytania St
Ste. 306
New Orleans, LA 70115-3761

Phone

(504) 896-9023

Fax

(504) 896-9093

NPI assigned

Dec 19, 2006

Last updated

Dec 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alun R Wang, M.D.NPI 1174547699

Title

Owner

Phone

(504) 896-9023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Alun R Wang, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • New Orleans, LA
  • NPI 1174547699
  Medicare reassignment Care Compare group NPD Authorized official
• Abida Kadi, M.D.

  • Dermatopathology (Pathology) Physician
  • Phoenix, AZ
  • NPI 1750777223

  LA

  Medicare reassignment Care Compare group NPD
• Buu Duong, MD

  • Dermatopathology (Pathology) Physician
  • Jackson, MS
  • NPI 1740572676

  LA

  Medicare reassignment NPD
• Jennifer S Schulmeier, MD

  • Dermatopathology (Pathology) Physician
  • Jackson, MS
  • NPI 1033432653

  LA

  Medicare reassignment NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322956800000",
    "number": "1740344555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15259",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701755259",
            "telephone_number": "504-896-9023",
            "fax_number": "504-896-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 PRYTANIA ST",
            "address_2": "STE. 306",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153761",
            "telephone_number": "504-896-9023",
            "fax_number": "504-896-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A W DERMATOPATHOLOGY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-12-04",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ALUN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-896-9023",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "19D1016329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Clinical Medical Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.