{"npi":"1295424646","type":"NPI-2","status":"active","name":{"display":"Institute For Dermatopathology, Inc.","other":[],"organization_name":"INSTITUTE FOR DERMATOPATHOLOGY, INC.","authorised_official":"Darren Wheeler"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"10029 SUNRISE DR","city":"STONE HARBOR","state":"NJ","postal_code":"082471315","country_code":"US","phone":"8002570117","fax":"6105503079"},{"purpose":"MAILING","street_1":"14275 MIDWAY RD STE 400","city":"ADDISON","state":"TX","postal_code":"750013614","country_code":"US"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"31D2279658","state":"NJ","issuer":"CLIA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230815002651","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"NJ","pac_id":"6800854571"}]},"enumeration_date":"2023-05-02","last_updated":"2024-08-14","_meta":{"source":"NPPES","snapshot_date":"2024-08-14","doc_url":"https://findmynpi.com/api"}}