FORENSIC 360 LABORATORY (NPI# 1093363228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093363228 |
| Entity Type | Organization |
| Organization Name | FORENSIC 360 LABORATORY |
| Practice Address |
1801 N Hampton Rd Ste 270 Desoto TX 75115-2399 |
| Practice Telephone | 4632221200 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | CINDY JOHNSON (PROGRAM ADMINISTRATOR) |
| Authorized Official Telephone | 4692221200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
1801 N HAMPTON RD STE 270 |
| City | DESOTO |
| State | TX |
| Zip Code | 75115-2399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| Taxonomy Code | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770113789 | Satish Chundru | Pathology | 4111 Logan Ridge Dr, Cedar Park, TX 78613-2071 | 2020-01-17 |
| 1053876235 | Tommy J Brown | Pathology | 5030 Highway 69 S Ste 700, Beaumont, TX 77705-1258 | 2019-02-01 |
| 1740697929 | Randall Bissessar | Pathology | Bexar County Medical Examiner's Office, 7337 Louis Pasteur Drive, San Antonio, TX 78229 | 2014-07-19 |
| 1003220195 | Vladimir M. Parungao | Pathology | 8302 Herts Rd, Spring, TX 77379-6716 | 2014-06-17 |
| 1982946232 | Patricia Jeanne Moore | Pathology | 25331 Rayford Crest Dr, Spring, TX 77386-2838 | 2013-03-25 |
| 1861793135 | Suzanna Dana | Pathology | 1515 S Commerce St, Lockhart, TX 78644-4010 | 2010-11-03 |
| 1982928487 | Chester Gwin IIi | Pathology | 5230 Southwestern Medical Ave, Dallas, TX 75235-7710 | 2010-03-26 |
| 1598096893 | Thomas Richard Parsons | Pathology | 6003 88th Pl, Lubbock, TX 79424-0800 | 2010-01-26 |
| 1104151208 | Sridhar Natarajan | Pathology | 4434 S Loop 289, Sridhar Natarajan Chief Medical Examiner, Lubbock, TX 79414-5005 | 2009-10-07 |
| 1003050279 | Deborah Gail Johnson | Pathology | 200 S 10th St, Suite 1105, Mcallen, TX 78501-4800 | 2009-04-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.