SKIN DIAGNOSTICS GROUP PC NPI 1417280538

NPI Information

  • NPI: 1417280538
  • Provider Name: SKIN DIAGNOSTICS GROUP PC
  • Classification: Pathology - 207ZD0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Address: 3512 OLD MONTGOMERY HWY
    BIRMINGHAM, AL
    ZIP 35209
  • Phone: (205) 879-2260

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NPI Details

SKIN DIAGNOSTICS GROUP PC is a dermatopathology pathology in Birmingham, AL. 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. SKIN DIAGNOSTICS GROUP PC NPI is 1417280538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3512 OLD MONTGOMERY HWY
BIRMINGHAM, AL
ZIP 35209-706
Phone: (205) 879-2260
Fax: (205) 879-2261

The provider's authorized official is James Alan Long .
The authorized official title is President and has the following contact phone number (205) 879-2260.

The enumeration date for this NPI number is 9/8/2009 and was last updated on 7/27/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZD0900XPathologyDermatopathology25042ALABAMAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
125042OTHERALABAMAMEDICAL LICENSE

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: 11/21/2025

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