MAIN LINE CENTER FOR LASER SURGERY
NPI 1750666566
Dermatology in Ardmore, PA

NPI Status: Active since October 13, 2011

Contact Information

32 PARKING PLZ
SUITE 200
ARDMORE, PA
ZIP 19003
Phone: (610) 645-5551
Fax: (610) 645-5151

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  • Organization
  • Dermatology
  • CLIA Number: 39D2259753
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-10-2026

About MAIN LINE CENTER FOR LASER SURGERY

This page provides the complete NPI Profile along with additional information for Main Line Center For Laser Surgery, a provider established in Ardmore, Pennsylvania operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1750666566 assigned on October 2011. The practitioner's primary taxonomy code is 207N00000X with license number MD045790L (PA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Main Line Center For Laser Surgery operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Main Line Center For Laser Surgery. The authorized official of this NPI record is Dr. Eric F. Bernstein M.d. (Medical Director)

NPI
1750666566
Provider Legal Name
LASER SURGERY AND COSMETIC DERMATOLOGY CENTERS INC
Other Organization Name
MAIN LINE CENTER FOR LASER SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
32 PARKING PLZ SUITE 200 ARDMORE, PA 19003
Location Phone
(610) 645-5551
Location Fax
(610) 645-5151
Mailing Address
32 PARKING PLZ SUITE 200 ARDMORE, PA 19003
Mailing Phone
(610) 645-5551
Mailing Fax
(610) 645-5151
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2011
Last Update Date
10-18-2011
Code Navigator

A dermatologist like Main Line Center For Laser Surgery is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD045790L
License State
PA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

MD432401 (PA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ERIC F. BERNSTEIN M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(610) 645-5551

CLIA 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
39D2259753
Facility Type
Physician Office
Certificate Effective Date
May 11, 2024
Certificate Expiration Date
May 10, 2026
Laboratory Director
DR. ERIC F. BERNSTEIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Main Line Center For Laser Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750666566
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710012612512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 6 + 1 + 2 + 5 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750666566 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

DR. ERIC FERENC BERNSTEIN M.D.

Dermatology

32 PARKING PLZ
SUITE 200
ARDMORE, PA
ZIP 19003

(610) 645-5551

DR. MICHAEL WOLLOCK

Dentist

(General Practice)

32 PARKING PLZ
604 THE TIMES BLDG, SUBURBAN SQUARE
ARDMORE, PA
ZIP 19003

(610) 649-0313

DR. CHRISTOPHER PERRIE DDS, MD

Dentist

(Oral and Maxillofacial Surgery)

32 PARKING PLZ
SUITE 502
ARDMORE, PA
ZIP 19003

(215) 528-3439

CHRISTOPHER S. PERRIE, DDS, MD, LLC

Clinic/Center

(Oral and Maxillofacial Surgery)

32 PARKING PLZ
SUITE 502
ARDMORE, PA
ZIP 19003

(215) 528-3439

DR. ALI M M SH M ALAJMI MD , FRCPC , FAAD

Dermatology

32 PARKING PLZ
ARDMORE, PA
ZIP 19003

(610) 645-5551

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750666566, enumerated as an "organization" on October 13, 2011.

The provider is located at 32 PARKING PLZ SUITE 200 ARDMORE, PA 19003 and the phone number is (610) 645-5551.

Dermatology with taxonomy code 207N00000X.