Organization Active NPI

Skin Pathology Center, Inc.

  • Clinical Medical Laboratory
  • Miami, FL
National Provider Identifier
1811311772
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Feb 13, 2014

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20150217001936 FL Part B Supplier - Independent Clinical Laboratory 3870711518 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.