I MD PATHLAB LLC NPI 1851554455

Pathology (Dermatopathology) in West Palm Beach, FL

NPI 1851554455 Organization Pathology Dermatopathology

About I MD PATHLAB LLC

I Md Pathlab Llc is a provider established in West Palm Beach, Florida specializing in pathology (dermatopathology) . The NPI number of I Md Pathlab Llc is 1851554455 and was assigned on July 2008. The practitioner's primary taxonomy code is 207ZD0900X with license number ME0069744 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Cr Jeanette Morales-ducret Md (Owner)

NPI

1851554455

Provider NameI MD PATHLAB LLC
Provider Location Address1500 N DIXIE HIGHWAY SUITE 308 WEST PALM BEACH, FL 33401
Provider Mailing Address1500 N DIXIE HIGHWAY SUITE 308 WEST PALM BEACH, FL 33401
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-03-2008
Last Update Date02-06-2009


Primary Taxonomy

Taxonomy Code207ZD0900X
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationDermatopathology
License No.ME0069744
License StateFL
Taxonomy DescriptionA 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.

Business Address

I MD PATHLAB LLC
1500 N DIXIE HIGHWAY
SUITE 308
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 236-1711
Fax: (561) 736-9807

Get Directions


Mailing Address

I MD PATHLAB LLC
1500 N DIXIE HIGHWAY
SUITE 308
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 236-1711
Fax: (561) 736-9807



Authorized Official

Authorized Official NameDR. CR JEANETTE MORALES-DUCRET MD
Authorized Official TitleOWNER
Authorized Official Phone(561) 236-1711

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1291U00000XLaboratoriesClinical Medical LaboratoryNo

Taxonomy Description: (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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
BC637MEDICARE PIN (08)FL

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013170513DR. CR JEANNETTE MORALES MD
Individual
Pathology (Dermatopathology)1500 N DIXIE HIGHWAY SUITE 308
WEST PALM BEACH, FL 33401
(561) 236-1711

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.