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JOE RONALD CANNON NPI 1073647962


NPI Information

NPI: 1073647962
Provider Name: JOE RONALD CANNON

Doing Business As: ABILENE DERMATOPATHOLOGY LAB

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
802 ORANGE ST
ABILENE, TX
ZIP 79601
Phone: (325) 672-2162
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JOE RONALD CANNON is a clinical medical laboratory in Abilene, TX. The provider is (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. JOE RONALD CANNON NPI is 1073647962. The provider is registered as an organization entity type.
The provider Is Doing Business As Abilene Dermatopathology Lab.

The provider's business location address is:

802 ORANGE ST
ABILENE, TX
ZIP 79601-020
Phone: (325) 672-2162

The provider's authorized official is Joe R Cannon .
The authorized official title is Dermatopathologist and has the following contact phone number (325) 672-2162.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 1/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryE2498TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CL0449OTHERTEXASBLUE CROSS
2025322101MEDICAIDTEXAS
3CL0449MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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