MIDWEST DERMATOLOGY, LASER & VEIN CLINIC
NPI 1174652325
Dermatology - Dermatopathology in Troy, OH

Q: What is Midwest Dermatology, Laser & Vein Clinic's specialty?

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

Active since March 05, 2007CLIA 36D1070095 · Microscopy

3006 N CO ROAD 25-A, TROY, OH 45373(937) 335-2075(937) 339-0612 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Midwest Dermatology, Laser & Vein Clinic NPPES

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

MIDWEST DERMATOLOGY, LASER & VEIN CLINIC (NPI 1174652325) is a healthcare organization registered as a dermatopathology in Troy, Ohio and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through June 20, 2027 and lists Angie Gleason, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1174652325

Entity TypeOrganization

Primary Taxonomy207ND0900X

Legal Business NameMIDWEST DERMATOLOGY, LASER & VEIN CLINIC

Location Address3006 N CO ROAD 25-ATroy, OH 45373-1373

Mailing Address3006 N Co Road 25-aTroy, OH 45373-1373 · (937) 335-2075 · Fax (937) 339-0612

Phone(937) 335-2075

Fax(937) 339-0612

Organization SubpartNo

Authorized OfficialAngie GleasonBilling Manager · (937) 875-2745

Enumeration DateMarch 5, 2007

Last NPPES UpdateApril 9, 2024

NPPES CertifiedApril 9, 2024

✔ NPI 1174652325 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.

3006 N CO ROAD 25-A, Troy, OH 45373

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 for Provider-Performed Microscopy Procedures (PPMP) 36D1070095

Midwest Dermatology, Laser And Vein Clinic · Springboro, OH

Active · expires Jun 20, 2027

CLIA Number36D1070095

Laboratory TypePhysician Office

Certificate Effective DateJune 21, 2025

Certificate Expiration DateJune 20, 2027

Laboratory DirectorMichelle Choucair MD

Laboratory Phone(937) 335-2075

Laboratory LocationMidwest Dermatology, Laser And Vein Clinic30 Remich Blvd, Springboro, OH 45066

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Midwest Dermatology, Laser & Vein Clinic's NPI number?

The NPI number for Midwest Dermatology, Laser & Vein Clinic is 1174652325. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Midwest Dermatology, Laser & Vein Clinic located?

Midwest Dermatology, Laser & Vein Clinic is located at 3006 N Co Road 25-A, Troy, OH 45373. The listed phone number is (937) 335-2075.

What is Midwest Dermatology, Laser & Vein Clinic's specialty?

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

Does Midwest Dermatology, Laser & Vein Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D1070095) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midwest Dermatology, Laser & Vein Clinic accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Midwest Dermatology, Laser & Vein Clinic 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 Midwest Dermatology, Laser & Vein Clinic was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.