ADVANCED DERMATOLOGY OF MARYLAND PC
NPI 1477388197
Dermatology in La Plata, MD
About Advanced Dermatology Of Maryland Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY OF MARYLAND PC (NPI 1477388197) is a healthcare organization registered as a dermatology in La Plata, Maryland and active in the NPI registry since September 2024. The organization holds a CLIA Certificate of Compliance certificate valid through March 14, 2028 and lists Matt Louis Leavitt, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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 21D2175030
Advanced Dermatology Of Maryland · La Plata, MDFrequently 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 Advanced Dermatology Of Maryland PC's NPI number?
The NPI number for Advanced Dermatology Of Maryland PC is 1477388197. It was assigned to this organization in the NPPES registry on September 3, 2024.
Where is Advanced Dermatology Of Maryland PC located?
Advanced Dermatology Of Maryland PC is located at 101 Centennial St Ste H, La Plata, MD 20646. The listed phone number is (301) 292-6010.
What is Advanced Dermatology Of Maryland PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Advanced Dermatology Of Maryland PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 21D2175030) is associated with this NPI, valid through March 14, 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 Advanced Dermatology Of Maryland PC was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.