Dermatopathology Associates, Pllc

LBN: Dermatopathology Associates, Pllc
Dermatopathology Associates, Pllc is an health care organization with primary practice located at 3120 Old Canton Rd , Jackson MS 39216. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Dermatopathology Associates, Pllc can be contacted via phone (601) 362-9851, or through Duong, Buu T via phone (601) 362-9851.

Contact Information

Primary practice address
3120 Old Canton Rd Jackson MS 39216
Fax: (601) 982-9025
Website:
Authorized official contact:
Name: Duong, Buu T Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 25D0688888 Missouri

Profile Details

NPI number 1356374912
LBN Legal business name Dermatopathology Associates, Pllc
DBA Doing business as
Authorized official Duong, Buu T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Sep 24th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356374912 NPPES
Louisiana MEDICAID 1964310
Louisiana Other 690008330
Louisiana MEDICAID 00120024
Louisiana MEDICAID 009931780
Louisiana MEDICAID 135488709
Louisiana Other 640399351A

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