TWIN CITIES DERMATOPATHOLOGY LLC NPI 1144223009

NPI Details

TWIN CITIES DERMATOPATHOLOGY, LLC is a dermatopathology pathology in Plymouth, MN. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. TWIN CITIES DERMATOPATHOLOGY, LLC NPI is 1144223009. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9900 13TH AVENUE NORTH
SUITE 2A
PLYMOUTH, MN
ZIP 55441-035
Phone: (763) 525-0363
Fax: (763) 525-0369

The provider's authorized official is Lisa Coombe .
The authorized official title is Business Administrator and has the following contact phone number (763) 525-0363.

The CLIA number assigned to this NPI record is 24D0651415 - independent with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
• Antibody evaluation, each additional single antibody stain procedure (HCPCS:88350)
• Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
• Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
• Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
• Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
• Antibody evaluation, initial single antibody stain procedure (HCPCS:88346)
• Surgical pathology consultation and report on referred slides prepared elsewhere (HCPCS:88321)
• Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
• Surgical pathology consultation and report on referred material requiring preparation of slides (HCPCS:88323)
• Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)

The enumeration date for this NPI number is 5/24/2005 and was last updated on 9/16/2024.

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:

Other Identifiers

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