Dermatopathology Laboratory Of New England Pc

LBN: Dermatopathology Laboratory Of New England Pc
Dermatopathology Laboratory Of New England Pc is an health care organization with primary practice located at 140 Green Rd , Meriden CT 06450-6612. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is the primary health care specialty. Dermatopathology Laboratory Of New England Pc can be contacted via phone (203) 630-2666, or through Shapiro, Philip Edwin via phone (208) 630-2666.

Contact Information

Primary practice address
140 Green Rd Meriden CT 06450-6612
Fax: (203) 630-2909
Website:
Authorized official contact:
Name: Shapiro, Philip Edwin Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 029159 Connecticut
Laboratories / Clinical Medical Laboratory 291U00000X CL0562 Connecticut

Profile Details

NPI number 1912915828
LBN Legal business name Dermatopathology Laboratory Of New England Pc
DBA Doing business as
Authorized official Shapiro, Philip Edwin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 25th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912915828 NPPES
Other 070CL0562CT01 ANTHEM BCBS
MEDICAID 004236081 ANTHEM BCBS

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