RED LEDGES DERMATOLOGY PLLC
NPI 1417467986
Dermatology in St George, UT
About Red Ledges Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RED LEDGES DERMATOLOGY PLLC (NPI 1417467986) is a healthcare organization registered as a dermatology in St George, Utah and active in the NPI registry since October 2017. The organization holds a CLIA Certificate of Compliance certificate valid through August 18, 2027 and lists Warren Albert Petererson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 46D2174004
Red Ledges Dermatology · St George, UTOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Red Ledges Dermatology PLLC's NPI number?
The NPI number for Red Ledges Dermatology PLLC is 1417467986. It was assigned to this organization in the NPPES registry on October 10, 2017.
Where is Red Ledges Dermatology PLLC located?
Red Ledges Dermatology PLLC is located at 1449 N 1400 W Ste 22, St George, UT 84770. The listed phone number is (435) 703-9296.
What is Red Ledges Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Red Ledges Dermatology PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 46D2174004) is associated with this NPI, valid through August 18, 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 Red Ledges Dermatology PLLC was last updated on March 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.