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UNIVERSITY DERMATOPATHOLOGY CONSULTANTS PSC NPI 1245401645


NPI Information

NPI: 1245401645
Provider Name: UNIVERSITY DERMATOPATHOLOGY CONSULTANTS PSC
Classification: Pathology - 207ZD0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
310 E BROADWAY
SUITE 3A
LOUISVILLE, KY
ZIP 40202
Phone: (502) 569-7711
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UNIVERSITY DERMATOPATHOLOGY CONSULTANTS PSC is a dermatopathology pathology in Louisville, KY. 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. UNIVERSITY DERMATOPATHOLOGY CONSULTANTS PSC NPI is 1245401645. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 E BROADWAY
SUITE 3A
LOUISVILLE, KY
ZIP 40202-745
Phone: (502) 569-7711
Fax: (502) 587-8119

The provider's authorized official is Janine C Malone .
The authorized official title is President and has the following contact phone number (502) 569-7711.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 1/8/2010.


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
1207ZD0900XPathologyDermatopathologyKY32113KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100062460MEDICAIDKENTUCKY
23539028000OTHERKENTUCKYPASSPORT ADVANTAGE
3200919370AMEDICAIDINDIANA
4DP2238OTHERKENTUCKYMEDICARE RR
500771MEDICARE PINKENTUCKY
650020526OTHERKENTUCKYPASSPORT

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: 11/14/2023

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