Twin Cities Dermatopathology, Llc

LBN: Twin Cities Dermatopathology, Llc
Twin Cities Dermatopathology, Llc is an health care organization with primary practice located at 9900 13Th Avenue North Suite 2A, Plymouth MN 55441-5035. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty. Twin Cities Dermatopathology, Llc can be contacted via phone (763) 525-0363, or through Coombe, Lisa via phone (763) 525-0363.

Contact Information

Primary practice address
9900 13Th Avenue North Suite 2A Plymouth MN 55441-5035
Phone: (763) 525-0363
Fax: (763) 525-0369
Website:
Map and Directions
Authorized official contact:
Name: Coombe, Lisa
Phone: (763) 525-0363

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 1279 Minnesota

Profile Details

NPI number 1144223009
LBN Legal business name Twin Cities Dermatopathology, Llc
DBA Doing business as
Authorized official Coombe, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Oct 17th, 2014 - about 12 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 1144223009 NPPES
Wisconsin MEDICAID 32939100
Wisconsin Other 24D0651415
Wisconsin MEDICAID 732527400

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