Tidewater Dermatopathology Service, Inc

LBN: Tidewater Dermatopathology Service, Inc
Tidewater Dermatopathology Service, Inc is an health care organization with primary practice located at 601 Medical Tower , Norfolk VA 23507. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Tidewater Dermatopathology Service, Inc can be contacted via phone (757) 622-6315, or through Pariser, Robert J. via phone (757) 622-6315.

Contact Information

Primary practice address
601 Medical Tower Norfolk VA 23507
Phone: (757) 622-6315
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pariser, Robert J. Doctor of Medicine (MD)
Phone: (757) 622-6315

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 0101-027130 Virginia

Profile Details

NPI number 1760572291
LBN Legal business name Tidewater Dermatopathology Service, Inc
DBA Doing business as
Authorized official Pariser, Robert J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated May 16th, 2011 - about 13 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 1760572291 NPPES
Virginia MEDICAID 4980662
Virginia Other 49D0229705

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