ADVANCED DERMATOLOGY AND SKIN CANCER CENTER
NPI 1497912893
Clinical Medical Laboratory in Boardman, OH

Active since May 22, 2008CLIA Certified · 4 labs
987 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512(330) 965-8760 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dermatology And Skin Cancer Center NPPES

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

ADVANCED DERMATOLOGY AND SKIN CANCER CENTER (NPI 1497912893) is a healthcare organization registered as a clinical medical laboratory in Boardman, Ohio and active in the NPI registry since May 2008. The organization holds 4 active CLIA laboratory certificates and lists Vicki Groner, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1497912893
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameADVANCED DERMATOLOGY AND SKIN CANCER CENTER
Location Address987 BOARDMAN CANFIELD RDBoardman, OH 44512-4222
Mailing Address987 Boardman Canfield RdBoardman, OH 44512-4222 · (330) 965-8760
Organization SubpartNo
Authorized OfficialVicki GronerBilling Manager · (330) 965-8760
Enumeration DateMay 22, 2008
NPI 1497912893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in OH · 35074029
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.
987 BOARDMAN CANFIELD RD, Boardman, OH 44512

Other Identifiers 1

Medicare PIND369141OH

CLIA Laboratory Certificates CMS CLIA 4

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 36D0990266

Advanced Dermatology & Skin Cancer Center, LLC · Boardman, OH
Active · expires Jan 23, 2028
CLIA Number36D0990266
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorDr. John R. Bernat
Laboratory Phone(330) 965-8760
Laboratory LocationAdvanced Dermatology & Skin Cancer Center, LLC987 Boardman-Canfield Road, Bldg A, Boardman, OH 44512
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 36D2179966

Advanced Dermatology And Skin Cancer Center · Warren, OH
Active · expires Mar 6, 2027
CLIA Number36D2179966
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorDr. John R. Bernat
Laboratory Phone(330) 965-8760
Laboratory LocationAdvanced Dermatology And Skin Cancer Center2223 Niles-Cortland SE Road, Warren, OH 44484
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.

Certificate of Waiver 36D2342233

Advanced Dermatology & Skin Cancer Center - Alliance · Alliance, OH
Active · expires Apr 15, 2028
CLIA Number36D2342233
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorPatrick Shannon
Laboratory Phone(330) 965-8760
Laboratory LocationAdvanced Dermatology & Skin Cancer Center - Alliance1207 W State Street Suite B, Alliance, OH 44601
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 36D2117712

Advanced Dermatology & Skin Cancer Center · Boardman, OH
Active · expires Jan 31, 2027
CLIA Number36D2117712
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDr. Patrick L. Shannon
Laboratory Phone(330) 965-8760
Laboratory LocationAdvanced Dermatology & Skin Cancer Center1039 Boardman-Canfield Road, Boardman, OH 44512
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Family)
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Dermatology
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Physician Assistant (Medical)
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Specialist
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Specialist
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Nurse Practitioner (Family)
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Physician Assistant
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Nurse Practitioner (Family)
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512

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 Advanced Dermatology And Skin Cancer Center's NPI number?

The NPI number for Advanced Dermatology And Skin Cancer Center is 1497912893. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Advanced Dermatology And Skin Cancer Center located?

Advanced Dermatology And Skin Cancer Center is located at 987 Boardman Canfield Rd, Boardman, OH 44512. The listed phone number is (330) 965-8760.

What is Advanced Dermatology And Skin Cancer Center's specialty?

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

Does Advanced Dermatology And Skin Cancer Center hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology And Skin Cancer Center was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.