Morgan Dermpath Labs Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800022993 Issued in FL

Legal business name

MORGAN DERMPATH LABS INC

Practice address

801 Maplewood Drive
Suite 5
Jupiter, FL 33458-8800

Phone

(561) 575-1788

Fax

(561) 575-1789

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jefferson Davis Morgan, M.D.

Title

Medical Director

Phone

(561) 575-1788

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1922270792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MAPLEWOOD DRIVE",
            "address_2": "SUITE 5",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588800",
            "telephone_number": "561-575-1788",
            "fax_number": "561-575-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MAPLEWOOD DRIVE",
            "address_2": "SUITE 5",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588800",
            "telephone_number": "561-575-1788",
            "fax_number": "561-575-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN DERMPATH LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-575-1788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800022993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AJ717",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis C. Moore, CCC-SLP
• Enid Morales
• Janeliz Morales
• Kelly Moran
• Jenifer M Morey, CRNA
• Jefferson Davis Morgan, M.D.
• Joanne E Morgan, P.T.
• Katelyn Morgan
• Laura Lea Morgan, LMFT
• Lachina Morisma, LMBT

• Clinical Medical Laboratory in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.