SKIN DIAGNOSTICS GROUP, PC (NPI# 1689922668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689922668 |
| Entity Type | Organization |
| Organization Name | SKIN DIAGNOSTICS GROUP, PC |
| Practice Address |
3125 Independence Dr Suite 301 Homewood AL 35209-4159 |
| Practice Telephone | 2058792260 |
| Practice Fax Number | 2058792261 |
| Mailing Telephone | 2058792260 |
| Mailing Fax Number | 2058792261 |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2012-08-23 |
| Authorized Official Name | DR. JAMES ALAN LONG (PRESIDENT) |
| Authorized Official Telephone | 2058792260 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 25042 | AL | Laboratories |
| Street Address |
3125 INDEPENDENCE DR SUITE 301 |
| City | HOMEWOOD |
| State | AL |
| Zip Code | 35209-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594185 | Jennifer Nelson Carter | Dietitian, Registered | 3125 Independence Dr, Homewood, AL 35209-4159 | 2019-12-02 |
| 1730558602 | Circulogene Theranostics LLC | Clinical Medical Laboratory | 3125 Independence Dr, Suite 301, Homewood, AL 35209-4159 | 2015-09-21 |
| 1326444795 | Fl Performance,llc | Specialist | 3125 Independence Dr, Suite 300a1, Homewood, AL 35209-4159 | 2014-11-13 |
| 1285924324 | Mary Puckett | Counselor | 3125 Independence Dr, Suite 108, Homewood, AL 35209-4159 | 2011-04-11 |
| 1518283423 | Margot Erika Walbert | Acupuncturist | 3125 Independence Dr, Homewood, AL 35209-4159 | 2010-04-16 |
| 1063603249 | Ashley Wolchina Allison | Dermatology | 3125 Independence Dr, Suite 301, Homewood, AL 35209-4159 | 2007-08-05 |
| 1750471637 | Michael L Eskridge | Physical Therapist | 3125 Independence Dr, 300b, Homewood, AL 35209 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861900698 | Lab Works, LLC | Clinical Medical Laboratory | 100 Oxmoor Blvd, Suite 190, Homewood, AL 35209-0140 | 2018-01-15 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1952431538 | Glass Clinical Labs Inc. | Clinical Medical Laboratory | 18238 Aida Ct, Homewood, IL 60430-2867 | 2007-03-06 |
| 1225523608 | Red Mountain Diagnostics, LLC | Clinical Medical Laboratory | 140 Oxmoor Blvd Ste 140, Homewood, AL 35209 | 2018-06-27 |
| 1841798667 | Devansh Lab Werks,inc | Clinical Medical Laboratory | 234 Aquarius Dr Ste 111, Homewood, AL 35209-5867 | 2018-01-26 |
| 1730558602 | Circulogene Theranostics LLC | Clinical Medical Laboratory | 3125 Independence Dr, Suite 301, Homewood, AL 35209-4159 | 2015-09-21 |
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| 1952908626 | Matrix Labs | Clinical Medical Laboratory | 4100 Mcclellan Blvd Ste 102, Anniston, AL 36201-2132 | 2020-10-06 |
| 1619574621 | Prestige Laboratory Services | Clinical Medical Laboratory | 857 Downtowner Blvd Ste H, Mobile, AL 36609-5420 | 2020-10-02 |
| 1740897123 | Labs Plus, LLC | Clinical Medical Laboratory | 2701 Mall Dr Ste 7204, Florence, AL 35630-7502 | 2020-09-29 |
| 1841800232 | Amh Staffing Agency | Clinical Medical Laboratory | 9925 County Road 63, Plantersville, AL 36758-2853 | 2020-07-31 |
| 1861012361 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 129 Mitylene Park Lane, Montgomery, AL 36117-3758 | 2020-04-24 |
| 1407487465 | Golden Point Solutions LLC | Clinical Medical Laboratory | 411a Lorna Sq, Vestavia Hills, AL 35216-5418 | 2020-01-29 |
| 1386284156 | Magnolia Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 2868 Acton Rd Ste 205, Vestavia, AL 35243-2502 | 2020-01-09 |
| 1780220863 | Sharon Masters | Clinical Medical Laboratory | 1930 Edwards Lake Rd Ste 138, Birmingham, AL 35235-3720 | 2019-11-23 |
| 1518518968 | Daniel Loper | Clinical Medical Laboratory | 3750 Moffett Rd, Mobile, AL 36618-1208 | 2019-09-26 |
| 1124676796 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1845 Cherry St Fl 2, Montgomery, AL 36107-2613 | 2019-08-27 |
| 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.