DERMATOPATHOLOTY NORTHWEST PLLC NPI 1932296092

NPI Information

  • NPI: 1932296092
  • Provider Name: DERMATOPATHOLOTY NORTHWEST PLLC
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Doing Business As: CARLSEN HISTOPATH
  • CLIA Number: 50D0629327
  • Address: 2330 130TH AVE NE # 201
    BELLEVUE, WA
    ZIP 98005
  • Phone: (425) 455-9945

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NPI Details

DERMATOPATHOLOTY NORTHWEST PLLC is a dermatopathology dermatology in Bellevue, WA. 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. DERMATOPATHOLOTY NORTHWEST PLLC NPI is 1932296092. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carlsen Histopath.

The provider's business location address is:

2330 130TH AVE NE # 201
BELLEVUE, WA
ZIP 98005-756
Phone: (425) 455-9945
Fax: (425) 455-9947

The provider's authorized official is Stacey P Murdoch .
The authorized official title is Office Manager and has the following contact phone number (425) 455-9945.

The CLIA number assigned to this NPI record is 50D0629327 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 8/19/2008.

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
1207ND0900XDermatologyDermatopathology50D0629327WASHINGTONYes

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
16337DEOTHERWASHINGTONREGENCE
2GAB12789MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
37099864MEDICAIDWASHINGTON

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: 3/30/2025

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