OPTIMA DERMATOLOGY LLC
NPI 1528147352
Clinical Medical Laboratory in Boardman, OH
NPI Status: Active since November 03, 2006
Contact Information
1027 BOARDMAN CANFIELD RD
BOARDMAN, OH
ZIP 44512
Phone: (330) 965-8760
Fax: (330) 965-9325
- Organization
- Clinical Medical Laboratory
- CLIA Number: 36D2179966
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-06-2027
About OPTIMA DERMATOLOGY LLC
This page provides the complete NPI Profile along with additional information for Optima Dermatology Llc, a provider established in Boardman, Ohio operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1528147352 assigned on November 2006. The practitioner's primary taxonomy code is 291U00000X with license number 35074029 (OH). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's former legal business name is Advanced Dermatology And Skin Cancer Center Llc. The authorized official of this NPI record is Vicki Groner (Billing Manager)
- NPI
- 1528147352
- Provider Legal Name
- OPTIMA DERMATOLOGY LLC
- Other Organization Name
- ADVANCED DERMATOLOGY AND SKIN CANCER CENTER LLC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1027 BOARDMAN CANFIELD RD BOARDMAN, OH 44512
- Location Phone
- (330) 965-8760
- Location Fax
- (330) 965-9325
- Mailing Address
- 987 BOARDMAN CANFIELD RD BOARDMAN, OH 44512
- Mailing Phone
- (330) 965-8760
- Mailing Fax
- (330) 965-9325
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2006
- Last Update Date
- 01-11-2024
- Code Navigator
Establishments like Optima Dermatology Llc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.
Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Medical Laboratory
- Taxonomy Code
- 291U00000X
- Type
- Laboratories
- License No.
- 35074029
- License State
- OH
- Taxonomy Description
- (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.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, moderately low complexity
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.
This service was performed 556 times for 360 patientsA 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.
This service was performed 13 times for 13 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2179966
- Facility Type
- Physician Office
- Certificate Effective Date
- March 07, 2025
- Certificate Expiration Date
- March 06, 2027
- Laboratory Director
- DR. JOHN R. BERNAT
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Optima Dermatology Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1528147352, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528147352, enumerated as an "organization" on November 03, 2006.
The provider is located at 1027 BOARDMAN CANFIELD RD BOARDMAN, OH 44512 and the phone number is (330) 965-8760.
Clinical Medical Laboratory with taxonomy code 291U00000X.
