Provider Type Icon

CLEVELAND SKIN PATHOLOGY LABORATORY INC NPI 1336128164


NPI Information

NPI: 1336128164
Provider Name: CLEVELAND SKIN PATHOLOGY LABORATORY, INC
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 36D0656050

Address:
3737 PARK EAST DRIVE
SUITE #202
BEACHWOOD, OH
ZIP 44122
Phone: (216) 464-7770
Get Directions

CLEVELAND SKIN PATHOLOGY LABORATORY, INC is a dermatopathology dermatology in Beachwood, OH. The provider is a dermatopathologist has the expertise to diagnose and monitor 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 routine and special (electron and fluorescent) microscopes. CLEVELAND SKIN PATHOLOGY LABORATORY, INC NPI is 1336128164. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3737 PARK EAST DRIVE
SUITE #202
BEACHWOOD, OH
ZIP 44122
Phone: (216) 464-7770
Fax: (216) 464-7531

The provider's authorized official is Dina Valladares .
The authorized official title is Director Of Credentialing & Pe and has the following contact phone number (561) 514-5822.

The CLIA number assigned to this NPI record is 36D0656050 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 9/21/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathologyCLIA 36D0656050OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CL3681441MEDICARE ID-TYPE UNSPECIFIEDOHIO
236D0656050OTHEROHIOCLIA
30252560MEDICAIDOHIO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.