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CUTANEOUS AND MAXILLOFACIAL PATHOLOGY LABORATORY, PC
NPI 1386717940
Clinical Medical Laboratory in Indianapolis, IN

Active since November 15, 2006
9292 N. MERIDIAN ST., SUITE 210, INDIANAPOLIS, IN 46260(317) 843-2204(317) 843-2478 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2019, Jun 7, 2019 (2 updates tracked since 2019).

About Cutaneous And Maxillofacial Pathology Laboratory, Pc NPPES

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

CUTANEOUS AND MAXILLOFACIAL PATHOLOGY LABORATORY, PC (NPI 1386717940), doing business as Dermatopathology Laboratory, is a healthcare organization registered as a clinical medical laboratory in Indianapolis, Indiana and active in the NPI registry since November 2006. The organization lists Christy D. Lynn, Billing Clerk, as its authorized official.

NPPES Registry Identity

NPI1386717940
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCUTANEOUS AND MAXILLOFACIAL PATHOLOGY LABORATORY, PC
Location Address9292 N. MERIDIAN ST., SUITE 210Indianapolis, IN 46260-1828
Mailing Address9292 N. Meridian St., Suite 210Indianapolis, IN 46260-1828 · (317) 843-2204 · Fax (317) 843-2478
Phone(317) 843-2204
Fax(317) 843-2478
Organization SubpartNo
Authorized OfficialChristy D. LynnBilling Clerk · (317) 843-2204
Enumeration DateNovember 15, 2006
Last NPPES UpdateJune 10, 20192 updates tracked since enumeration
✔ NPI 1386717940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in IN · 15D0647261
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.
9292 N. MERIDIAN ST., Indianapolis, IN 46260
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Other Names 1

Former Legal Business NameDermatopathology Laboratory

Other Identifiers 1

Medicaid100236370AIN

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cutaneous And Maxillofacial Pathology Laboratory, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20091102000261Non-DME Part B · Independent Clinical LaboratoryDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cutaneous And Maxillofacial Pathology Laboratory, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ashley Clark, DDS
Dentist
NPI 1215225305
9292 N MERIDIAN ST STE 210
Indianapolis, IN 46260
(317) 843-2204
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.
5,983 services3,271 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
306 services140 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.
304 services269 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.
186 services127 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
123 services30 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.
74 services71 patients

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 Cutaneous And Maxillofacial Pathology Laboratory, PC's NPI number?

The NPI number for Cutaneous And Maxillofacial Pathology Laboratory, PC is 1386717940. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider was formerly known as Dermatopathology Laboratory.

Where is Cutaneous And Maxillofacial Pathology Laboratory, PC located?

Cutaneous And Maxillofacial Pathology Laboratory, PC is located at 9292 N. Meridian St. Suite 210, Indianapolis, IN 46260. The listed phone number is (317) 843-2204.

What is Cutaneous And Maxillofacial Pathology Laboratory, PC's specialty?

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

Is Cutaneous And Maxillofacial Pathology Laboratory, PC enrolled in Medicare?

Yes. Cutaneous And Maxillofacial Pathology Laboratory, PC is registered in the Medicare PECOS enrollment system.

When is Cutaneous And Maxillofacial Pathology Laboratory, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Independent Clinical Laboratory) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cutaneous And Maxillofacial Pathology Laboratory, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Cutaneous And Maxillofacial Pathology Laboratory, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cutaneous And Maxillofacial Pathology Laboratory, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Cutaneous And Maxillofacial Pathology Laboratory, PC 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 Cutaneous And Maxillofacial Pathology Laboratory, PC was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.