SKIN PATHOLOGY LABORATORY, INC.
NPI 1073648069
Dermatology - Dermatopathology in Boston, MA

Q: What is Skin Pathology Laboratory, Inc.'s NPI number?

The NPI number for Skin Pathology Laboratory, Inc. is 1073648069. It was assigned to this organization in the NPPES registry on February 22, 2007.

Q: What is Skin Pathology Laboratory, Inc.'s specialty?

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

Active since February 22, 2007CLIA 22D0075241 · Certificate of Compliance

609 ALBANY ST FL 3, BOSTON, MA 02118(617) 638-5570(617) 638-5575 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Skin Pathology Laboratory, Inc. NPPES

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

SKIN PATHOLOGY LABORATORY, INC. (NPI 1073648069) is a healthcare organization registered as a dermatopathology in Boston, Massachusetts and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 11, 2027 and lists Jag Bhawan, President, as its authorized official.

NPPES Registry Identity

NPI1073648069

Entity TypeOrganization

Primary Taxonomy207ND0900X

Legal Business NameSKIN PATHOLOGY LABORATORY, INC.

Location Address609 ALBANY ST FL 3Boston, MA 02118-2515

Mailing Address680 Worcester RdFramingham, MA 01702-5259 · (508) 620-2800 · Fax (508) 620-2808

Phone(617) 638-5570

Fax(617) 638-5575

Organization SubpartNo

Authorized OfficialJag BhawanPresident · (617) 638-5570

Enumeration DateFebruary 22, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1073648069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

609 ALBANY ST FL 3, Boston, MA 02118

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Other Identifiers 1

Medicaid9750878MA

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 22D0075241

Skin Pathology Laboratory Inc · Boston, MA

Active · expires Nov 11, 2027

CLIA Number22D0075241

Laboratory TypeIndependent

Certificate Effective DateNovember 12, 2025

Certificate Expiration DateNovember 11, 2027

Laboratory DirectorRosalynn M. Nazarian

Laboratory Phone(617) 358-9750

Laboratory LocationSkin Pathology Laboratory Inc609 Albany Street Ste J-309, Boston, MA 02118

CLIA data matches this NPI record on: Name

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 Skin Pathology Laboratory, Inc.'s NPI number?

The NPI number for Skin Pathology Laboratory, Inc. is 1073648069. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Skin Pathology Laboratory, Inc. located?

Skin Pathology Laboratory, Inc. is located at 609 Albany St Fl 3, Boston, MA 02118. The listed phone number is (617) 638-5570.

What is Skin Pathology Laboratory, Inc.'s specialty?

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

Does Skin Pathology Laboratory, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D0075241) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skin Pathology Laboratory, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Skin Pathology Laboratory, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Skin Pathology Laboratory, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.