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LABORATORY OF DERMATOPATHOLOGY ADX LLC NPI 1487663860


NPI Information

NPI: 1487663860
Provider Name: LABORATORY OF DERMATOPATHOLOGY ADX, LLC
Classification: Pathology - 207ZD0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 33D0143814

Address:
80 CROSSWAYS PARK DRIVE
SUITE 100
WOODBURY, NY
ZIP 11797
Phone: (516) 944-3883
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LABORATORY OF DERMATOPATHOLOGY ADX, LLC is a dermatopathology pathology in Woodbury, NY. 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. LABORATORY OF DERMATOPATHOLOGY ADX, LLC NPI is 1487663860. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

80 CROSSWAYS PARK DRIVE
SUITE 100
WOODBURY, NY
ZIP 11797-047
Phone: (516) 944-3883
Fax: (516) 833-2936

The provider's authorized official is Michael Grattendick .
The authorized official title is Cfo and has the following contact phone number (561) 514-5822.

The CLIA number assigned to this NPI record is 33D0143814 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 8/28/2019.


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
1207ZD0900XPathologyDermatopathologyPFI 3199NEW YORKYes

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

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