Abilene Dermatopathology Lab

LBN: Joe Ronald Cannon
Abilene Dermatopathology Lab is an health care organization with primary practice located at 802 Orange St , Abilene TX 79601-4020. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Joe Ronald Cannon can be contacted via phone (325) 672-2162, or through Cannon, Joe R via phone (325) 672-2162.

Contact Information

Primary practice address
802 Orange St Abilene TX 79601-4020
Phone: (325) 672-2162
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Joe R Doctor of Medicine (MD)
Phone: (325) 672-2162

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X E2498 Texas

Profile Details

NPI number 1073647962
LBN Legal business name Joe Ronald Cannon
DBA Doing business as Abilene Dermatopathology Lab
Authorized official Cannon, Joe R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Jan 8th, 2010 - about 15 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 1073647962 NPPES
Texas MEDICAID 025322101
Texas Other CL0449

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