NPI Details
OPTIMA DERMATOLOGY LLC is a clinical medical laboratory in Boardman, OH. 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. OPTIMA DERMATOLOGY LLC NPI is 1528147352. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Advanced Dermatology And Skin Cancer Center Llc.
The provider's business location address is:
1027 BOARDMAN CANFIELD RD
BOARDMAN, OH
ZIP 44512-227
Phone: (330) 965-8760
Fax: (330) 965-9325
The provider's authorized official is Vicki Groner .
The authorized official title is Billing Manager and has the following contact phone number (330) 965-8760.
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)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
The enumeration date for this NPI number is 11/3/2006 and was last updated on 1/11/2024.
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:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | 35074029 | OHIO | Yes |
