Pathology Laboratory Associates, Inc.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PATHOLOGY LABORATORY ASSOCIATES, INC.

Practice address

3719 Dauphin St
Mobile, AL 36608-1753

Phone

(251) 342-0030

Fax

(205) 449-3395

NPI assigned

Apr 17, 2007

Last updated

Dec 22, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SYNERGY LABORATORIES, INC.As reported in NPPES

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

Authorized official

Name

Patsy L Bradley

Title

Billing Director

Phone

(251) 342-0030

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pathology Laboratory Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Mobile, AL
  • NPI 1821095167

  0749203271

  Same PAC ID

Part of

Synergy Laboratories Inc

Locations

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.

• Synergy Laboratories, Inc.

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1598142895
  NPPES parent name

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.

• Tyler Snow Jones, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Mobile, AL
  • NPI 1487016499
  Medicare reassignment NPD
• Todd J Kendall, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Mobile, AL
  • NPI 1194718023
  Medicare reassignment NPD
• Kimberley V. Patterson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Mobile, AL
  • NPI 1992743785
  Medicare reassignment NPD
• Carol Dittmann, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Aurora, CO
  • NPI 1427052414

  AL

  Medicare reassignment NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1740406131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160105",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366161105",
            "telephone_number": "251-342-0030",
            "fax_number": "205-449-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-342-0030",
            "fax_number": "205-449-3395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083709",
            "country_code": "US",
            "telephone_number": "251-342-0030",
            "fax_number": "205-449-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHOLOGY LABORATORY ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYNERGY LABORATORIES, INC.",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "251-342-0030"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PAYOR NUMBER",
            "identifier": "D813",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528501350",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD4053",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niraliben Patel, NP
• Sachi Patel
• Shalinkumar Mahendra Patel, MD
• Shriya Patel
• Sunny Patel, M.D.
• Pathology Laboratory Associates, Inc.
• Paths to Empowerment Counseling Services, LLC
• Pathway 2 Purpose Wellness & Consulting, LLC
• Pathway Healthcare Alabama LLC
• Naga Sai Krishna Patibandla, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.