Mission Dermatopathology Laboratory, LLC

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

N9998 Issued in TX

Legal business name

MISSION DERMATOPATHOLOGY LABORATORY, LLC

Practice address

2620 McCullough Ave
San Antonio, TX 78212-3022

Phone

(210) 314-9898

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Mary Dennis Altmeyer, MDNPI 1144493024

Title

Owner

Phone

(210) 664-4675

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Mary Dennis Altmeyer, MD

  • Dermatopathology Physician
  • San Antonio, TX
  • NPI 1144493024

  Dermatology

  NPD Authorized official

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1831684315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123022",
            "telephone_number": "210-664-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123022",
            "telephone_number": "210-314-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION DERMATOPATHOLOGY LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "ALTMEYER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-664-4675",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N9998",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "TX",
            "license": "N9998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mission City Counseling
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• Mission City Urology, PLLC
• Mission Diagnostics LLC
• Mission Emergency Medicine Services, PA
• Mission Event Senior Center LLC
• Mission HHH LLC
• Mission Hospice Care LLC

• Dermatopathology (Pathology) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatopathology (Pathology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.