RADIANT DERMATOLOGY ASSOCIATES LLC
NPI 1720790330
Dermatology in Fort Wayne, IN
About Radiant Dermatology Associates Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RADIANT DERMATOLOGY ASSOCIATES LLC (NPI 1720790330) is a healthcare organization registered as a dermatology in Fort Wayne, Indiana and active in the NPI registry since December 2022. The organization holds a CLIA Microscopy certificate valid through June 20, 2027 and lists Dara Spearman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 for Provider-Performed Microscopy Procedures (PPMP) 15D2284343
Radiant Dermatology Associates · Ft Wayne, INOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Radiant Dermatology Associates LLC's NPI number?
The NPI number for Radiant Dermatology Associates LLC is 1720790330. It was assigned to this organization in the NPPES registry on December 15, 2022.
Where is Radiant Dermatology Associates LLC located?
Radiant Dermatology Associates LLC is located at 722 E Till Rd Ste 102, Fort Wayne, IN 46825. The listed phone number is (260) 487-4065.
What is Radiant Dermatology Associates LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Radiant Dermatology Associates LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D2284343) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Radiant Dermatology Associates LLC was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.