Active NPI
Skin Pathology Center, Inc.
- Clinical Medical Laboratory
- Miami, FL
National Provider Identifier
1811311772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SKIN PATHOLOGY CENTER, INC.
- Practice address
- 1235 SW 87TH Ave
Miami, FL 33174-3306 - Phone
- (786) 417-0732
- NPI assigned
- Feb 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Uzma Farooq, M.D.
- Title
- President/Medical Director
- Phone
- (786) 417-0732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1235 SW 87TH Ave
Miami, FL 33174-3306
Mailing address
1235 SW 87TH Ave
Miami, FL 33174-3306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150217001936 | FL | Part B Supplier - Independent Clinical Laboratory | 3870711518 | Practice locations: Miami, FL |
National Provider Directory
National Provider DirectoryLocations
6280 Sunset Dr
Ste 500
South Miami, FL 33143
Phone (305) 667-3597
6280 Sunset Dr
#500B
South Miami, FL 33143
Phone (786) 417-0732
6280 Sunset Dr
Ste 500B
South Miami, FL 33143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392249600000",
"number": "1811311772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 SW 87TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331743306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 SW 87TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331743306",
"telephone_number": "786-417-0732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN PATHOLOGY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A",
"authorized_official_last_name": "FAROOQ",
"authorized_official_first_name": "UZMA",
"authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "786-417-0732",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.