CONNECTICUT SKIN INSTITUTE
NPI 1013263847
Dermatology - MOHS-Micrographic Surgery in Stamford, CT
About Connecticut Skin Institute NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNECTICUT SKIN INSTITUTE (NPI 1013263847) is a healthcare organization registered as a mohs-micrographic surgery in Stamford, Connecticut and active in the NPI registry since July 2012. The organization holds a CLIA Certificate of Compliance certificate valid through June 11, 2027, maintains a secondary practice location in Milford, and lists Omar A Ibrahimi, Owner, as its authorized official.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Other Names 1
Secondary Practice Location 1
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D2117686
- Facility Type
- Physician Office
- Certificate Effective Date
- June 12, 2025
- Certificate Expiration Date
- June 11, 2027
- Laboratory Director
- OMAR A. IBRAHIMI MD PHD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Connecticut Skin Institute after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
STAMFORD, CT 06905
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013263847, enumerated as an "organization" on July 30, 2012.
The provider is located at 2777 SUMMER ST STE 600 STAMFORD, CT 06905 and the phone number is (203) 428-4440.
Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.
