NORTH GEORGIA DERMATOPATHOLOGY PC
NPI 1134217342
Clinical Medical Laboratory in Marietta, GA

Active since October 11, 2006
945 CHURCH STREET EXT NE STE B, MARIETTA, GA 30060(770) 426-0827(770) 426-9534 Get Directions Write a Review

NPPES record last updated: December 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Georgia Dermatopathology Pc NPPES

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

NORTH GEORGIA DERMATOPATHOLOGY PC (NPI 1134217342) is a healthcare organization registered as a clinical medical laboratory in Marietta, Georgia and active in the NPI registry since October 2006. The organization lists Lindsay Catherine Jerdan, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1134217342
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameNORTH GEORGIA DERMATOPATHOLOGY PC
Location Address945 CHURCH STREET EXT NE STE BMarietta, GA 30060-7293
Mailing AddressPo Box 162406Atlanta, GA 30321-2406 · (770) 426-0827 · Fax (770) 426-9534
Fax(770) 426-9534
Organization SubpartNo
Authorized OfficialLindsay Catherine JerdanBusiness Manager · (770) 426-0827
Enumeration DateOctober 11, 2006
Last NPPES UpdateDecember 30, 2010
NPI 1134217342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in GA · 11D0645784
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.
945 CHURCH STREET EXT NE STE B, Marietta, GA 30060

Other Identifiers 3

Medicare ID-Type Unspecified69WBCBTGA
Medicaid434544295AGA
Other52023957GA · Bcbs

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 North Georgia Dermatopathology PC's NPI number?

The NPI number for North Georgia Dermatopathology PC is 1134217342. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is North Georgia Dermatopathology PC located?

North Georgia Dermatopathology PC is located at 945 Church Street Ext NE Ste B, Marietta, GA 30060. The listed phone number is (770) 426-0827.

What is North Georgia Dermatopathology PC's specialty?

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

When was this NPI record last updated?

The NPPES record for North Georgia Dermatopathology PC was last updated on December 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.