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: July 19, 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.

Chiropractor
4343 SHALLOWFORD RD, SUITE B6
MARIETTA, GA 30062
Optometrist
4343 SHALLOWFORD RD, SUITE F-1
MARIETTA, GA 30062
Acupuncturist
4343 SHALLOWFORD RD, SUITE B7A
MARIETTA, GA 30062
Clinic/Center (Medical Specialty)
4343 SHALLOWFORD RD, SUITE B6
MARIETTA, GA 30062
Chiropractor
4343 SHALLOWFORD RD, SUITE G3
MARIETTA, GA 30062
Counselor (Professional)
4343 SHALLOWFORD RD, SUITE C2
MARIETTA, GA 30062
Counselor (Mental Health)
4343 SHALLOWFORD RD
MARIETTA, GA 30062
Chiropractor
4343 SHALLOWFORD RD, SUITE G3
MARIETTA, GA 30062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114363207, enumerated as an "organization" on May 15, 2013.

The provider is located at 4343 SHALLOWFORD RD SUITE B3B MARIETTA, GA 30062 and the phone number is (614) 273-5705.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.