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SKINPATH DIAGNOSTICS LLC
NPI 1306117460
Physiological Laboratory in Shreveport, LA

Active since January 21, 2012CLIA 19D2061541 · Certificate of Compliance
3000 KNIGHT STREET, BLDG 5 SUITE 220, SHREVEPORT, LA 71105(318) 841-9526(318) 841-9551 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Skinpath Diagnostics Llc NPPES

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

SKINPATH DIAGNOSTICS LLC (NPI 1306117460) is a healthcare organization registered as a physiological laboratory in Shreveport, Louisiana and active in the NPI registry since January 2012. The organization holds a CLIA Certificate of Compliance certificate valid through June 17, 2028 and lists Ryan J Matherne, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1306117460
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameSKINPATH DIAGNOSTICS LLC
Location Address3000 KNIGHT STREET, BLDG 5 SUITE 220Shreveport, LA 71105
Mailing Address3000 Knight Street, Bldg 5 Suite 220Shreveport, LA 71105 · (318) 841-9526 · Fax (318) 841-9551
Phone(318) 841-9526
Fax(318) 841-9551
Organization SubpartNo
Authorized OfficialRyan J MatherneMedical Director · (985) 446-5888
Enumeration DateJanuary 21, 2012
Last NPPES UpdateApril 19, 2018
✔ NPI 1306117460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
3000 KNIGHT STREET, Shreveport, LA 71105
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Other Identifiers 1

Medicaid1500615LA

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 19D2061541

Skinpath Diagnostics, LLC · Mathews, LA
Active · expires Jun 17, 2028
CLIA Number19D2061541
Laboratory TypeIndependent
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorRyan J. Matherne
Laboratory Phone(985) 446-5888
Laboratory LocationSkinpath Diagnostics, LLC951 Hwy 654, Mathews, LA 70375
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.

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 Skinpath Diagnostics LLC's NPI number?

The NPI number for Skinpath Diagnostics LLC is 1306117460. It was assigned to this organization in the NPPES registry on January 21, 2012.

Where is Skinpath Diagnostics LLC located?

Skinpath Diagnostics LLC is located at 3000 Knight Street Bldg 5 Suite 220, Shreveport, LA 71105. The listed phone number is (318) 841-9526.

What is Skinpath Diagnostics LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Does Skinpath Diagnostics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 19D2061541) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skinpath Diagnostics LLC was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.