UNIVERSITY DERMATOPATHOLOGY SERVICES INC
NPI 1376062141
Pathology - Dermatopathology in Burbank, CA

Active since September 13, 2017CLIA 05D2174490 · Certificate of Compliance
2220 N SCREENLAND DR STE 101, BURBANK, CA 91505(954) 998-0976 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, Nov 4, 2024, Sep 13, 2017 (3 updates tracked since 2017).

About University Dermatopathology Services Inc NPPES

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

UNIVERSITY DERMATOPATHOLOGY SERVICES INC (NPI 1376062141) is a healthcare organization registered as a dermatopathology in Burbank, California and active in the NPI registry since September 2017. The organization holds a CLIA Certificate of Compliance certificate valid through March 17, 2027, maintains a secondary practice location in Burbank, and lists Nancy Seguin, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1376062141
Entity TypeOrganization
Primary Taxonomy207ZD0900X
Legal Business NameUNIVERSITY DERMATOPATHOLOGY SERVICES INC
Location Address2220 N SCREENLAND DR STE 101Burbank, CA 91505-1137
Mailing AddressPo Box 847258Los Angeles, CA 90084-3565 · (650) 815-2120
Organization SubpartNo
Authorized OfficialNancy SeguinVp Of Revenue Cycle Management · (954) 998-0976
Enumeration DateSeptember 13, 2017
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
NPI 1376062141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License Licensed in CA · A73000
Definition
A dermatopathologist is an expert in diagnosing and monitoring 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 light microscopy, electron microscopy, and fluorescence microscopy.
2220 N SCREENLAND DR STE 101, Burbank, CA 91505

Secondary Practice Location 1

Location 12740 W Magnolia Blvd Unit 201Burbank, CA 91505-3051 · Phone (323) 935-8800 ext. 105 · Fax (323) 935-8804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D2174490

University Dermatopathology Services Inc · Burbank, CA
Active · expires Mar 17, 2027
CLIA Number05D2174490
Laboratory TypeIndependent
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorDr. Manjunath S. Vadmal
Laboratory Phone(323) 935-8800
Laboratory LocationUniversity Dermatopathology Services Inc2220 N. Screenland Dr, Ste 102, Burbank, CA 91505
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
964 services647 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
53 services49 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
29 services25 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
15 services14 patients

Other Providers at the Same Location NPPES

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

Dermatology (Dermatopathology)
2220 N SCREENLAND DR STE 101
BURBANK, CA 91505

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 University Dermatopathology Services Inc's NPI number?

The NPI number for University Dermatopathology Services Inc is 1376062141. It was assigned to this organization in the NPPES registry on September 13, 2017.

Where is University Dermatopathology Services Inc located?

University Dermatopathology Services Inc is located at 2220 N Screenland Dr Ste 101, Burbank, CA 91505. The listed phone number is (954) 998-0976.

What is University Dermatopathology Services Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Does University Dermatopathology Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2174490) is associated with this NPI, valid through March 17, 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 University Dermatopathology Services Inc was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.