NPI Details
DERMPATH NEW ENGLAND, LLC is a clinical medical laboratory in Boston, MA. 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. DERMPATH NEW ENGLAND, LLC NPI is 1558451666. The provider is registered as an organization entity type.
The provider's business location address is:
1380 SOLDIERS FIELD RD STE 3800
BOSTON, MA
ZIP 02135-047
Phone: (617) 254-7284
Fax: (617) 254-4116
The provider's authorized official is Michael C. Grattendick .
The authorized official title is Vice President and has the following contact phone number (561) 514-5822.
The CLIA number assigned to this NPI record is 22D1049111 - independent with a certificate type of Certificate of Compliance.
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)
- Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
- Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
- Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
- Surgical pathology consultation and report on referred slides prepared elsewhere (HCPCS:88321)
- Antibody evaluation, initial single antibody stain procedure (HCPCS:88346)
The enumeration date for this NPI number is 10/13/2006 and was last updated on 10/26/2021.
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 | | 3429 | MASSACHUSETTS | Yes |
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 |
| 1 | 110074861A | MEDICAID | MASSACHUSETTS | |
| 2 | 22D1049111 | OTHER | MASSACHUSETTS | CLIA |
