Skin Pathology Laboratory, INC.
Dermatology, Dermatopathology in Boston, Massachusetts
1073648069- Practice location
- 609 Albany St Fl 3, Boston, MA 02118-2515
- Phone
- 617-638-5570
- Fax
- 617-638-5575
- Last updated
- August 22, 2020
Skin Pathology Laboratory, INC. is a healthcare organization based in Boston, MA. Skin Pathology Laboratory, INC. practices in Boston, MA. The NPI Number for Skin Pathology Laboratory, INC. is 1073648069 and holds a License No. 22D0075241 (MA). The current practice location address for Skin Pathology Laboratory, INC. is 609 Albany St Fl 3, Boston, MA 02118-2515 and can be reached out via phone at 617-638-5570 and via fax at 617-638-5575.
Provider Profile Details
- NPI Number
- 1073648069
- Provider Name
- Skin Pathology Laboratory, INC.
- Provider Entity Type
- Organization
- Address
- 609 Albany St Fl 3, Boston, MA 02118-2515
- Phone Number
- 617-638-5570
- Fax Number
- 617-638-5575
- Primary Taxonomy
- Dermatology, Dermatopathology · 207ND0900X
- Organization Subpart
- No
- Authorized Official
- Dr. Jag Bhawan, MD · President · 617-638-5570
- Provider Enumeration Date
- February 22, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 609 Albany St Fl 3
Boston, MA 02118-2515 - City
- Boston
- State
- Massachusetts
- Zip
- 02118-2515
- Phone Number
- 617-638-5570
- Fax Number
- 617-638-5575
Provider Business Mailing Address Details
- Address
- 680 Worcester RD
Framingham, MA 01702-5259 - City
- Framingham
- State
- MA
- Zip
- 01702-5259
- Phone Number
- 508-620-2800
- Fax Number
- 508-620-2808
License Information
- License Number
- 22D0075241
- License State
- MA
- Taxonomy
- Dermatology, Dermatopathology · 207ND0900X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Skin Pathology Laboratory, INC.?
The NPI number of Skin Pathology Laboratory, INC. is 1073648069. It was assigned on February 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Skin Pathology Laboratory, INC.?
Skin Pathology Laboratory, INC. is registered under the primary taxonomy Dermatology, Dermatopathology (code 207ND0900X), licensed in MA under license number 22D0075241.
Where does Skin Pathology Laboratory, INC. practice?
The practice location is 609 Albany St Fl 3, Boston, MA 02118-2515. The office can be reached at 617-638-5570 (phone) or 617-638-5575 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073648069 directly on the NPPES registry website.