SOUTH TEXAS DERMATOPATHOLOGY LAB PA
NPI 1265431456
Pathology - Dermatopathology in San Antonio, TX
NPI Status: Active since July 19, 2005
Contact Information
1122 AUSTIN HWY
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 342-6488
Fax: (210) 342-6725
- Organization
- Pathology
- Dermatopathology
- CLIA Number: 45D0501699
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 04-06-2028
About SOUTH TEXAS DERMATOPATHOLOGY LAB PA
This page provides the complete NPI Profile along with additional information for South Texas Dermatopathology Lab Pa, a provider established in San Antonio, Texas operating as a Pathology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1265431456 assigned on July 2005. The practitioner's primary taxonomy code is 207ZD0900X with license number G4960 (TX). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Thomas L Davis Md (Laboratory Director)
- NPI
- 1265431456
- Provider Name
- SOUTH TEXAS DERMATOPATHOLOGY LAB PA
- Entity Type
- Organization
- Location Address
- 1122 AUSTIN HWY SAN ANTONIO, TX 78209
- Location Phone
- (210) 342-6488
- Location Fax
- (210) 342-6725
- Mailing Address
- 1122 AUSTIN HWY SAN ANTONIO, TX 78209
- Mailing Phone
- (210) 342-6488
- Mailing Fax
- (210) 342-6725
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-19-2005
- Last Update Date
- 07-12-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Dermatopathology
- Taxonomy Code
- 207ZD0900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G4960
- License State
- TX
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116882 | MEDICAID (05) | MN | |
| 13211 | MEDICAID (05) | ND | |
| 110795501 | MEDICAID (05) | TX | |
| 0421345 | MEDICAID (05) | MT | |
| 90013183 | OTHER (01) | TX | PACIFICALE |
| CL0476 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | |
| 912055600 | MEDICAID (05) | FL | |
| 690004679 | OTHER (01) | TX | MEDICARE RR |
| 100245340A | MEDICAID (05) | KS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0501699
- Facility Type
- Independent
- Certificate Effective Date
- April 07, 2026
- Certificate Expiration Date
- April 06, 2028
- Laboratory Director
- DR. PATRICIA MILLER CASTANEDA
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to South Texas Dermatopathology Lab Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265431456, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
SAN ANTONIO, TX 78209
SAN ANTONIO, TX 78209
SAN ANTONIO, TX 78209
SAN ANTONIO, TX 78209
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265431456, enumerated as an "organization" on July 19, 2005.
The provider is located at 1122 AUSTIN HWY SAN ANTONIO, TX 78209 and the phone number is (210) 342-6488.
Pathology with taxonomy code 207ZD0900X and a focus in Dermatopathology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
