Michel H Shain (NPI# 1740285865, PAC ID# 0446328520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
Nation Provider ID (NPI) | 1740285865 |
PAC ID by PECOS | 0446328520 |
Professional Enrollment ID | I20101118000106 |
Full Name | Michel H Shain |
Organization Legal Name | PATHOLOGY LABORATORY ASSOCIATES, P.A. |
Address |
100 Memorial Hospita Dr Suite D Mobile AL 36601-9999 |
Phone Number | 2513420030 |
Gender | F |
Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
Graduation Year | 1981 |
Primary Specialty | PATHOLOGY |
Group Practice PAC ID | 0749203271 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010144 | SPRINGHILL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
100 Memorial Hospita Dr, Suite D, Mobile, AL 36601-9999 | 2513420030 | PATHOLOGY LABORATORY ASSOCIATES, P.A. |
Organization Legal Name | PATHOLOGY LABORATORY ASSOCIATES, P.A. |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Glenn Alan Nelson | Pathology | Pathology Laboratory Associates, P.a. | 100 Memorial Hospita Dr, Suite D, Mobile, AL 36601-9999 |
Kimberly Patterson | Pathology | Pathology Laboratory Associates, P.a. | 100 Memorial Hospita Dr, Suite D, Mobile, AL 36601-9999 |
Brian Wenzel | Pathology | Pathology Laboratory Associates, P.a. | 100 Memorial Hospita Dr, Suite D, Mobile, AL 36601-9999 |
Street Address |
100 MEMORIAL HOSPITA DR SUITE D |
City | MOBILE |
State | AL |
Zip | 36601-9999 |
Name | Specialty | Organization | Address |
---|---|---|---|
Glenn Alan Nelson | Pathology | Pathology Laboratory Associates, P.a. | 100 Memorial Hospita Dr, Suite D, Mobile, AL 36601-9999 |
Kimberly Patterson | Pathology | Pathology Laboratory Associates, P.a. | 100 Memorial Hospita Dr, Suite D, Mobile, AL 36601-9999 |
Brian Wenzel | Pathology | Pathology Laboratory Associates, P.a. | 100 Memorial Hospita Dr, Suite D, Mobile, AL 36601-9999 |
City | MOBILE |
Zip Code | 36601 |
Specialty | PATHOLOGY |
City + Specialty | MOBILE + PATHOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.