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SOUTH TEXAS DERMATOPATHOLOGY LAB PA
NPI 1265431456
Pathology - Dermatopathology in San Antonio, TX

Active since July 19, 2005CLIA 45D0501699 · Certificate of Compliance
1122 AUSTIN HWY, SAN ANTONIO, TX 78209(210) 342-6488(210) 342-6725 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Texas Dermatopathology Lab Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH TEXAS DERMATOPATHOLOGY LAB PA (NPI 1265431456) is a healthcare organization registered as a dermatopathology in San Antonio, Texas and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through April 6, 2028 and lists Thomas L Davis, Laboratory Director, as its authorized official.

NPPES Registry Identity

NPI1265431456
Entity TypeOrganization
Primary Taxonomy207ZD0900X
Legal Business NameSOUTH TEXAS DERMATOPATHOLOGY LAB PA
Location Address1122 AUSTIN HWYSan Antonio, TX 78209-4844
Mailing Address1122 Austin HwySan Antonio, TX 78209-4844 · (210) 342-6488 · Fax (210) 342-6725
Phone(210) 342-6488
Fax(210) 342-6725
Organization SubpartNo
Authorized OfficialThomas L DavisLaboratory Director · (210) 342-6488
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 12, 2012
✔ NPI 1265431456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License✔ Licensed in TX · G4960
Definition
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.
1122 AUSTIN HWY, San Antonio, TX 78209
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Other Identifiers 9

Medicaid116882MN
Medicaid13211ND
Medicaid110795501TX
Medicaid0421345MT
Other90013183TX · Pacificale
Medicare ID-Type UnspecifiedCL0476TX
Medicaid912055600FL
Other690004679TX · Medicare Rr
Medicaid100245340AKS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D0501699

South Texas Dermatopathology Lab PA · San Antonio, TX
Active · expires Apr 6, 2028
CLIA Number45D0501699
Laboratory TypeIndependent
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorDr. Patricia Miller Castaneda
Laboratory Phone(210) 342-6488
Laboratory LocationSouth Texas Dermatopathology Lab PA5 Champions Mark, San Antonio, TX 78258
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN PATRICK LEE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1122 AUSTIN HWY
SAN ANTONIO, TX 78209
Bexar County (210) 342-6488
DR. PATRICIA MILLER CASTANEDA M.D.
Dermatology (Dermatopathology)
1122 AUSTIN HWY
SAN ANTONIO, TX 78209
Bexar County (210) 342-6488
AUSTIN PATHOLOGY ASSOCIATES
Dermatology (Dermatopathology)
1122 AUSTIN HWY
SAN ANTONIO, TX 78209
Bexar County (210) 342-6488
MR. LESTER FRED LIBOW MD
Pathology (Dermatopathology)
1122 AUSTIN HWY
SAN ANTONIO, TX 78209
Bexar County (210) 342-6488
LISA ANN SMITH DO
Pathology (Anatomic Pathology & Clinical Pathology)
1122 AUSTIN HWY
SAN ANTONIO, TX 78209
Bexar County (210) 342-6488
DR. MOHAMMED TAREQ LILO M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1122 AUSTIN HWY
SAN ANTONIO, TX 78209
Bexar County (210) 342-6488
MR. CHARLES SAMUEL STEVENS MD
Pathology (Dermatopathology)
1122 AUSTIN HWY
SAN ANTONIO, TX 78209
Bexar County (210) 342-6488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Texas Dermatopathology Lab PA's NPI number?

The NPI number for South Texas Dermatopathology Lab PA is 1265431456. It was assigned to this organization in the NPPES registry on July 19, 2005.

Where is South Texas Dermatopathology Lab PA located?

South Texas Dermatopathology Lab PA is located at 1122 Austin Hwy, San Antonio, TX 78209. The listed phone number is (210) 342-6488.

What is South Texas Dermatopathology Lab PA's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Does South Texas Dermatopathology Lab PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0501699) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Texas Dermatopathology Lab PA was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.