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SKIN AND LASER SURGERY CENTER
NPI 1720277932
Dermatology - MOHS-Micrographic Surgery in Vienna, VA

Active since October 24, 2007CLIA 49D1023017 · Certificate of Compliance
8130 BOONE BLVD, SUITE 340, VIENNA, VA 22182(703) 492-4140(703) 490-6443 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skin And Laser Surgery Center NPPES

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

SKIN AND LASER SURGERY CENTER (NPI 1720277932) is a healthcare organization registered as a mohs-micrographic surgery in Vienna, Virginia and active in the NPI registry since October 2007. The organization holds a CLIA Certificate of Compliance certificate valid through July 5, 2028 and lists Amir Bajoghli, President, as its authorized official.

NPPES Registry Identity

NPI1720277932
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSKIN AND LASER SURGERY CENTER
Location Address8130 BOONE BLVD, SUITE 340Vienna, VA 22182-2666
Mailing AddressPo Box 2010Merrifield, VA 22116-2010 · (703) 492-4140 · Fax (703) 492-5409
Phone(703) 492-4140
Fax(703) 490-6443
Organization SubpartNo
Authorized OfficialAmir BajoghliPresident · (703) 492-4140
Enumeration DateOctober 24, 2007
Last NPPES UpdateSeptember 24, 2008
✔ NPI 1720277932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in VA · 0101053252
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
8130 BOONE BLVD, Vienna, VA 22182
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Other Identifiers 9

Medicare UPING45977
Medicare PIN491664DC
Other269480VA · Anthem
Medicare UPING45977VA
Medicare PINSC0001019VA
OtherF502VA · Carefirst
Other7371099VA · Aetna
Other8297441VA · Cigna
Medicare PIN070000348VA

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 49D1023017

Skin & Laser Surgery Center PC · Woodbridge, VA
Active · expires Jul 5, 2028
CLIA Number49D1023017
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorAmir A. Bajoghli
Laboratory Phone(703) 492-4140
Laboratory LocationSkin & Laser Surgery Center PC2200 Opitz Boulevard, Suite 100, Woodbridge, VA 22191
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 3

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

MAHNAZ MOMENI MD
Internal Medicine (Rheumatology)
8130 BOONE BLVD, SUITE#340
VIENNA, VA 22182
Fairfax County (703) 734-2222
DR. MAHSA TEHRANI M.D.
Internal Medicine (Rheumatology)
8130 BOONE BLVD, SUITE 340
VIENNA, VA 22182
Fairfax County (202) 492-1044
MICHELLE QUICK THOMPSON LPC
Counselor (Professional)
8130 BOONE BLVD, SUITE 250
VIENNA, VA 22182
Fairfax County (703) 831-8300

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 Skin And Laser Surgery Center's NPI number?

The NPI number for Skin And Laser Surgery Center is 1720277932. It was assigned to this organization in the NPPES registry on October 24, 2007.

Where is Skin And Laser Surgery Center located?

Skin And Laser Surgery Center is located at 8130 Boone Blvd Suite 340, Vienna, VA 22182. The listed phone number is (703) 492-4140.

What is Skin And Laser Surgery Center's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Skin And Laser Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D1023017) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skin And Laser Surgery Center was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.