LABORATORY OF DERMATOPATHOLOGY ADX, LLC
NPI 1487663860
Pathology - Dermatopathology in Woodbury, NY

Q: What is Laboratory Of Dermatopathology Adx, LLC's specialty?

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

Active since August 05, 2006CLIA 33D0143814 · Certificate of Compliance

80 CROSSWAYS PARK DRIVE, SUITE 100, WOODBURY, NY 11797(516) 944-3883(516) 833-2936 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2019, Mar 23, 2016, Mar 16, 2016 (3 updates tracked since 2016).

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About Laboratory Of Dermatopathology Adx, Llc NPPES

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

LABORATORY OF DERMATOPATHOLOGY ADX, LLC (NPI 1487663860) is a healthcare organization registered as a dermatopathology in Woodbury, New York and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Michael Grattendick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487663860

Entity TypeOrganization

Primary Taxonomy207ZD0900X

Legal Business NameLABORATORY OF DERMATOPATHOLOGY ADX, LLC

Location Address80 CROSSWAYS PARK DRIVE, SUITE 100Woodbury, NY 11797-2047

Mailing Address11025 Rca Center Dr, Suite 300Palm Beach Gardens, FL 33410-4269 · (561) 514-5822

Phone(516) 944-3883

Fax(516) 833-2936

Organization SubpartNo

Authorized OfficialMichael GrattendickCfo · (561) 514-5822

Enumeration DateAugust 5, 2006

Last NPPES UpdateAugust 28, 20193 updates tracked since enumeration

✔ NPI 1487663860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZD0900X

License✔ Licensed in NY · PFI 3199

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.

80 CROSSWAYS PARK DRIVE, Woodbury, NY 11797

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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 33D0143814

Laboratory Of Dermatopathology Adx LLC · Woodbury, NY

Active · expires Mar 26, 2027

CLIA Number33D0143814

Laboratory TypeIndependent

Certificate Effective DateAugust 28, 1995

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Xuan Wang

Laboratory Phone(516) 944-7104

Laboratory LocationLaboratory Of Dermatopathology Adx LLC80 Crossway Park Drive, Woodbury, NY 11797

CLIA data matches this NPI record on: Name

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 8

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.

32,762 services14,064 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.

3,695 services2,947 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.

3,572 services1,634 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.

1,884 services1,419 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.

197 services171 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

189 services160 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.

AIM INTEGRATED MEDICINE

Allergy & Immunology (Allergy)

80 CROSSWAYS PARK DRIVE, SUITE 200
WOODBURY, NY 11797

Nassau County (516) 802-5028

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 Laboratory Of Dermatopathology Adx, LLC's NPI number?

The NPI number for Laboratory Of Dermatopathology Adx, LLC is 1487663860. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Laboratory Of Dermatopathology Adx, LLC located?

Laboratory Of Dermatopathology Adx, LLC is located at 80 Crossways Park Drive Suite 100, Woodbury, NY 11797. The listed phone number is (516) 944-3883.

What is Laboratory Of Dermatopathology Adx, LLC's specialty?

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

Does Laboratory Of Dermatopathology Adx, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0143814) is associated with this NPI, valid through March 26, 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 Laboratory Of Dermatopathology Adx, LLC was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.