LDC DERMATOPATHOLOGY, LLC
NPI 1114363207
Clinical Medical Laboratory in Marietta, GA

Active since May 15, 2013CLIA 11D2147186 · Certificate of Compliance
4343 SHALLOWFORD RD, SUITE B3B, MARIETTA, GA 30062(614) 273-5705(678) 742-8486 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ldc Dermatopathology, Llc NPPES

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

LDC DERMATOPATHOLOGY, LLC (NPI 1114363207) is a healthcare organization registered as a clinical medical laboratory in Marietta, Georgia and active in the NPI registry since May 2013. The organization holds a CLIA Certificate of Compliance certificate valid through April 8, 2027 and lists Lynn D Cooper, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1114363207
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLDC DERMATOPATHOLOGY, LLC
Location Address4343 SHALLOWFORD RD, SUITE B3BMarietta, GA 30062-5023
Mailing Address4343 Shallowford Rd, Suite B3bMarietta, GA 30062-5023 · (614) 273-5705 · Fax (678) 742-8486
Fax(678) 742-8486
Organization SubpartNo
Authorized OfficialLynn D CooperOwner/president · (614) 273-5705
Enumeration DateMay 15, 2013
NPI 1114363207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in GA · 61056
Definition
(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.
4343 SHALLOWFORD RD, Marietta, GA 30062

Other Identifiers 2

MedicaidAPPLYING FORGA
Medicare PINAPPLYING FORGA

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 11D2147186

Ldc Dermatopathology, LLC · Marietta, GA
Active · expires Apr 8, 2027
CLIA Number11D2147186
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorLynn D. Cooper
Laboratory Phone(614) 273-5705
Laboratory LocationLdc Dermatopathology, LLC2380 Lakefront Court, Marietta, GA 30062
CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
4343 SHALLOWFORD RD, SUITE E1
MARIETTA, GA 30062
Counselor
4343 SHALLOWFORD RD, SUITE 2
MARIETTA, GA 30062
Chiropractor
4343 SHALLOWFORD RD, SUITE G3
MARIETTA, GA 30062
Optometrist
4343 SHALLOWFORD RD, SUITE F-1
MARIETTA, GA 30062
Clinic/Center (Mental Health (Including Community Mental Health Center))
4343 SHALLOWFORD RD, SUITE C2
MARIETTA, GA 30062
Community/Behavioral Health
4343 SHALLOWFORD RD, SUITE E-1
MARIETTA, GA 30062
Optometrist
4343 SHALLOWFORD RD, F-1
MARIETTA, GA 30062
Counselor (Mental Health)
4343 SHALLOWFORD RD, SUITE C2
MARIETTA, GA 30062

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 Ldc Dermatopathology, LLC's NPI number?

The NPI number for Ldc Dermatopathology, LLC is 1114363207. It was assigned to this organization in the NPPES registry on May 15, 2013.

Where is Ldc Dermatopathology, LLC located?

Ldc Dermatopathology, LLC is located at 4343 Shallowford Rd Suite B3b, Marietta, GA 30062. The listed phone number is (614) 273-5705.

What is Ldc Dermatopathology, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Ldc Dermatopathology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2147186) is associated with this NPI, valid through April 8, 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 Ldc Dermatopathology, LLC was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.