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FAMILY DERMATOLOGY
NPI 1023409612
Dermatology - Dermatopathology in Louisville, KY

Active since February 18, 2015CLIA 18D0931856 · Certificate of Compliance
2307 GREENE WAY STE A, LOUISVILLE, KY 40220(502) 806-3376(502) 495-0156 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2024, Sep 4, 2020 (2 updates tracked since 2020).

About Family Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY DERMATOLOGY (NPI 1023409612) is a healthcare organization registered as a dermatopathology in Louisville, Kentucky and active in the NPI registry since February 2015. The organization holds a CLIA Certificate of Compliance certificate valid through August 6, 2027 and lists Tj Burch, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1023409612
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameDERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC
Location Address2307 GREENE WAY STE ALouisville, KY 40220-4097
Mailing Address2307 Greene Way Ste CLouisville, KY 40220-4097 · (502) 806-3376 · Fax (502) 495-0156
Phone(502) 806-3376
Fax(502) 495-0156
Organization SubpartNo
Authorized OfficialTj BurchOffice Manager · (502) 495-1162
Enumeration DateFebruary 18, 2015
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1023409612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
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.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2307 GREENE WAY STE A, Louisville, KY 40220
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Other Names 1

Doing Business AsFamily Dermatology

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 18D0931856

Family Dermatology · Louisville, KY
Active · expires Aug 6, 2027
CLIA Number18D0931856
Laboratory TypeIndependent
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorDr. Andrea S. Burch
Laboratory Phone(502) 495-1162
Laboratory LocationFamily Dermatology2307 Greene Way, Louisville, KY 40220
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatopathology Consultants Of Kentucky PLLC's NPI number?

The NPI number for Dermatopathology Consultants Of Kentucky PLLC is 1023409612. It was assigned to this organization in the NPPES registry on February 18, 2015. The provider is doing business as Family Dermatology.

Where is Dermatopathology Consultants Of Kentucky PLLC located?

Dermatopathology Consultants Of Kentucky PLLC is located at 2307 Greene Way Ste A, Louisville, KY 40220. The listed phone number is (502) 806-3376.

What is Dermatopathology Consultants Of Kentucky PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Does Dermatopathology Consultants Of Kentucky PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D0931856) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatopathology Consultants Of Kentucky PLLC was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.