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CHARLOTTE SKIN & LASER, P.A.
NPI 1538229737
Specialist in Charlotte, NC

Active since December 11, 2006CLIA Certified · 2 labs
130 PROVIDENCE RD STE 100, CHARLOTTE, NC 28207(704) 333-9113(704) 333-9757 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charlotte Skin & Laser, P.a. NPPES

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

CHARLOTTE SKIN & LASER, P.A. (NPI 1538229737) is a healthcare organization registered as a specialist in Charlotte, North Carolina and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Elizabeth Rostan, President, as its authorized official.

NPPES Registry Identity

NPI1538229737
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHARLOTTE SKIN & LASER, P.A.
Location Address130 PROVIDENCE RD STE 100Charlotte, NC 28207-1242
Mailing Address130 Providence Rd Ste 100Charlotte, NC 28207-1242 · (704) 333-9113 · Fax (704) 333-9757
Phone(704) 333-9113
Fax(704) 333-9757
Organization SubpartNo
Authorized OfficialElizabeth RostanPresident · (704) 333-9113
Enumeration DateDecember 11, 2006
Last NPPES UpdateDecember 17, 2014
✔ NPI 1538229737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 9700237
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
130 PROVIDENCE RD STE 100, Charlotte, NC 28207
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Other Identifiers 2

Medicare UPIN2331560NC
Medicare UPINH08009NC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 34D0993045

Charlotte Skin And Laser · Charlotte, NC
Active · expires Sep 8, 2027
CLIA Number34D0993045
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorElizabeth F. Rostan
Laboratory Phone(980) 335-0877
Laboratory LocationCharlotte Skin And Laser130 Providence Rd, Charlotte, NC 28207
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2341401

Charlotte Skin & Laser, PA · Huntersville, NC
Active · expires Mar 31, 2028
CLIA Number34D2341401
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorElizabeth F. Rostan
Laboratory Phone(704) 333-9113
Laboratory LocationCharlotte Skin & Laser, PA9920 Kincey Avenue, Suite 190, Huntersville, NC 28078
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. ELIZABETH FAIRCLOTH ROSTAN M.D.
Dermatology
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
ELISABETH EVE CRUZ PA-C
Physician Assistant
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
ALEXANDRA CHANEL MONTGOMERY MD
Dermatology
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9112
KAMILLA I ZETER PA-C
Physician Assistant
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
ALEXIS COELHO LEWIS PA-C
Physician Assistant
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113
MRS. DIANA TONG ROETTING PA-C
Physician Assistant (Medical)
130 PROVIDENCE RD STE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-9113

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 Charlotte Skin & Laser, P.A.'s NPI number?

The NPI number for Charlotte Skin & Laser, P.A. is 1538229737. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Charlotte Skin & Laser, P.A. located?

Charlotte Skin & Laser, P.A. is located at 130 Providence Rd Ste 100, Charlotte, NC 28207. The listed phone number is (704) 333-9113.

What is Charlotte Skin & Laser, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Charlotte Skin & Laser, P.A. hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Charlotte Skin & Laser, P.A. accept?

Health plans from Blue Cross and Blue Shield of NC list Charlotte Skin & Laser, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charlotte Skin & Laser, P.A. was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.