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SALT LAKE DERMATOLOGY AND AESTHETICS PC
NPI 1669059713
Dermatology in Salt Lake City, UT

Active since March 25, 2021CLIA 46D0524039 · Certificate of Compliance
250 E 300 S STE 120, SALT LAKE CITY, UT 84111(801) 521-5630(801) 596-9780 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2021, Mar 25, 2021 (2 updates tracked since 2021).

About Salt Lake Dermatology And Aesthetics Pc NPPES

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

SALT LAKE DERMATOLOGY AND AESTHETICS PC (NPI 1669059713) is a healthcare organization registered as a dermatology in Salt Lake City, Utah and active in the NPI registry since March 2021. The organization holds a CLIA Certificate of Compliance certificate valid through April 24, 2028 and lists Michael C Sotiriou, Owner, as its authorized official.

NPPES Registry Identity

NPI1669059713
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSALT LAKE DERMATOLOGY AND AESTHETICS PC
Location Address250 E 300 S STE 120Salt Lake City, UT 84111-2418
Mailing Address250 E 300 S Ste 120Salt Lake City, UT 84111-2418 · (801) 521-5630 · Fax (801) 596-9780
Phone(801) 521-5630
Fax(801) 596-9780
Organization SubpartNo
Authorized OfficialMichael C SotiriouOwner · (801) 521-5630
Enumeration DateMarch 25, 2021
Last NPPES UpdateApril 12, 20212 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1669059713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
250 E 300 S STE 120, Salt Lake City, UT 84111
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

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 46D0524039

Salt Lake Dermatology And Aesthetics · Salt Lake City, UT
Active · expires Apr 24, 2028
CLIA Number46D0524039
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorMichael Sotiriou
Laboratory Phone(801) 521-5630
Laboratory LocationSalt Lake Dermatology And Aesthetics250 E 300 S Suite 120, Salt Lake City, UT 84111
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES

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

DR. MICHAEL SOTIRIOU M.D.
Dermatology
250 E 300 S STE 120
SALT LAKE CITY, UT 84111
Salt Lake County (801) 521-5630

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 Salt Lake Dermatology And Aesthetics PC's NPI number?

The NPI number for Salt Lake Dermatology And Aesthetics PC is 1669059713. It was assigned to this organization in the NPPES registry on March 25, 2021.

Where is Salt Lake Dermatology And Aesthetics PC located?

Salt Lake Dermatology And Aesthetics PC is located at 250 E 300 S Ste 120, Salt Lake City, UT 84111. The listed phone number is (801) 521-5630.

What is Salt Lake Dermatology And Aesthetics PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Salt Lake Dermatology And Aesthetics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 46D0524039) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Salt Lake Dermatology And Aesthetics PC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Salt Lake Dermatology And Aesthetics PC 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 Salt Lake Dermatology And Aesthetics PC was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.