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MISSION DERMATOPATHOLOGY LABORATORY PLLC NPI 1831684315


NPI Information

NPI: 1831684315
Provider Name: MISSION DERMATOPATHOLOGY LABORATORY, PLLC
Classification: Pathology - 207ZD0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 45D2142369

Address:
2620 MCCULLOUGH AVE
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 314-9898
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MISSION DERMATOPATHOLOGY LABORATORY, PLLC is a dermatopathology pathology in San Antonio, TX. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. MISSION DERMATOPATHOLOGY LABORATORY, PLLC NPI is 1831684315. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2620 MCCULLOUGH AVE
SAN ANTONIO, TX
ZIP 78212-022
Phone: (210) 314-9898

The provider's authorized official is Mary Dennis Altmeyer .
The authorized official title is Owner and has the following contact phone number (210) 664-4675.

The CLIA number assigned to this NPI record is 45D2142369 - other - dermatopathology with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/26/2018 and was last updated on 10/7/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyN9998TEXASNo
2207ZD0900XPathologyDermatopathologyN9998TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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