Institute for Dermatopathology, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

39D0177150 Issued in PA

Legal business name

INSTITUTE FOR DERMATOPATHOLOGY, INC.

Practice address

875 Greentree Road, Suite 325
Four Parkway Center
Pittsburgh, PA 15220

Phone

(800) 845-3573

NPI assigned

Feb 6, 2006

Organization subpart

Yes

Parent organization

AMERIPATH INC.As reported in NPPES

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

Authorized official

Name

Darren Thomas Wheeler

Title

Vice President

Phone

(702) 733-7866

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Ameripath Pittsburgh, PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Institute for Dermatopathology, Inc.

  • Clinical Medical Laboratory
  • Flourtown, PA
  • NPI 1093595829

  O20041228000523

  Same enrollment
• Institute for Dermatopathology, Inc.

  • Clinical Medical Laboratory
  • Newtown Square, PA
  • NPI 1538131362

  O20041228000523

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Institute for Dermatopathology Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Institute for Dermatopathology, Inc.

  • Clinical Medical Laboratory
  • Flourtown, PA
  • NPI 1093595829
  NPD tax ID
• Institute for Dermatopathology, Inc.

  • Clinical Medical Laboratory
  • Stone Harbor, NJ
  • NPI 1295424646
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Albany, NY
  • NPI 1265202147

  Member Of

  NPD member

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saba Mubarka Ali, M.D.

  • Dermatology Physician
  • Pittsburgh, PA
  • NPI 1861689283
  NPD (past)
• Farrukh Azmi, MD

  • Dermatopathology (Pathology) Physician
  • Pittsburgh, PA
  • NPI 1467438390
  NPD (past)
• Luis Flores, MD

  • Dermatopathology (Pathology) Physician
  • Wexford, PA
  • NPI 1992781785
  NPD (past)
• Mandi Sachdeva, MD

  • Dermatopathology Physician
  • Pittsburgh, PA
  • NPI 1518159490
  NPD (past)
• Alan R Silverman, MD

  • Dermatopathology (Pathology) Physician
  • Pittsburgh, PA
  • NPI 1124004924
  NPD (past)
• Susan E Lenahan, MD

  • Dermatopathology (Pathology) Physician
  • Tampa, FL
  • NPI 1376529206
  NPD (past)
• Trent Benjamin Marburger

  • Dermatopathology (Pathology) Physician
  • Mayfield Heights, OH
  • NPI 1457593501
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1821060641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013676",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 GREENTREE ROAD, SUITE 325",
            "address_2": "FOUR PARKWAY CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15220",
            "telephone_number": "800-845-3573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 Centre Ave",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152131807",
            "country_code": "US",
            "telephone_number": "412-682-3083",
            "fax_number": "412-682-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSTITUTE FOR DERMATOPATHOLOGY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC.",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "702-733-7866"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "39D0177150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "308055",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007508900001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01016391",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007508900004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335262",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6701101000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ameripath Pittsburgh, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ameripath Pittsburgh, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Medical Laboratory in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.