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Dermatopathology Associates, Pllc
Clinical Medical Laboratory in Jackson, Mississippi
NPI 1356374912

Dermatopathology Associates, Pllc is a Clinical Medical Laboratory based in Jackson, MS. Dermatopathology Associates, Pllc practices in Jackson, MS. The NPI Number for Dermatopathology Associates, Pllc is 1356374912 and holds a License No. 25D0688888 (Mississippi).

The current practice location address for Dermatopathology Associates, Pllc is 3120 Old Canton Rd, Jackson, MS and can be reached out via phone at 601-362-9851 and via fax at 601-982-9025. You can also correspond with Dermatopathology Associates, Pllc through the mailing address at PO BOX 3528, JACKSON, MS - 39207-3528 (mailing address contact number: 601-362-9851).

Location: 3120 Old Canton Rd, Jackson, MS, 39207-3528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356374912
Provider Name
Dermatopathology Associates, Pllc
Credential
Provider Entity Type
Organization
Address
3120 Old Canton Rd, Jackson, MS, 39207-3528
Phone Number
601-362-9851
Fax Number
601-982-9025
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1964310 05 LA
690008330 01 RAILROAD MEDICARE
00120024 05 MS
009931780 05 AL
135488709 05 AR
640399351A 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3120 Old Canton Rd
City
Jackson
State
Mississippi
Zip
39216
Phone Number
601-362-9851
Fax Number
601-982-9025
person
Provider Business Mailing Address Details
Address
3120 Old Canton Rd
City
Jackson
State
Mississippi
Zip
39216
Phone Number
601-362-9851
Fax Number
601-982-9025
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
25D0688888 (Missouri)
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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