1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Clinical Medical Laboratory
  6. NPI Profile

DERMATOPATHOLOGY LABORATORY OF CENTRAL STATES
NPI 1912914144
Clinical Medical Laboratory in Dayton, OH

Active since August 01, 2006CLIA Certified · 2 labs
7835 PARAGON RD, DAYTON, OH 45459(937) 434-2351(937) 434-1381 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dermatopathology Laboratory Of Central States NPPES

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

DERMATOPATHOLOGY LABORATORY OF CENTRAL STATES (NPI 1912914144) is a healthcare organization registered as a clinical medical laboratory in Dayton, Ohio and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Thomas G. Olsen, Laboratory Director, as its authorized official.

NPPES Registry Identity

NPI1912914144
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameDERMATOPATHOLOGY LABORATORY OF CENTRAL STATES
Location Address7835 PARAGON RDDayton, OH 45459
Mailing Address7835 Paragon RdDayton, OH 45459-4021 · (937) 434-2351 · Fax (937) 434-1381
Phone(937) 434-2351
Fax(937) 434-1381
Organization SubpartNo
Authorized OfficialThomas G. OlsenLaboratory Director · (937) 434-2351
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 30, 2018
✔ NPI 1912914144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
7835 PARAGON RD, Dayton, OH 45459
Open in Google Maps ↗

Other Identifiers 1

Medicaid0222614OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatopathology Laboratory Of Central States is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dermatopathology Laboratory Of Central States, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Hoy, DO
Dermatology
NPI 1528405586
2405 N COLUMBUS ST STE 100
Lancaster, OH 43130
(614) 908-1339
✔ PECOS✔ Accepts Medicare83 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Accreditation 36D0656401

Dermatopathology Lab Of Central States, LLC · Dayton, OH
Active · expires Apr 29, 2027
CLIA Number36D0656401
Laboratory TypeIndependent
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorDr. Adrienne C. Jordan
Laboratory Phone(937) 434-2351
Laboratory LocationDermatopathology Lab Of Central States, LLC7835 Paragon Road, Dayton, OH 45459
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 23D2043685

Dermatopathology Laboratory Of Central States, LLC · Troy, MI
Active · expires Jun 25, 2027
CLIA Number23D2043685
Laboratory TypeIndependent
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorDr. Sean Stephenson
Laboratory Phone(937) 434-2351
Laboratory LocationDermatopathology Laboratory Of Central States, LLC1100 Owendale Drive Suite A, Troy, MI 48083
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
58,053 services32,540 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
5,060 services2,361 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
2,729 services2,552 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
2,325 services2,068 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
1,508 services1,134 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
812 services196 patients

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 Dermatopathology Laboratory Of Central States's NPI number?

The NPI number for Dermatopathology Laboratory Of Central States is 1912914144. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is Dermatopathology Laboratory Of Central States located?

Dermatopathology Laboratory Of Central States is located at 7835 Paragon Rd, Dayton, OH 45459. The listed phone number is (937) 434-2351.

What is Dermatopathology Laboratory Of Central States's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Dermatopathology Laboratory Of Central States enrolled in Medicare?

Yes. Dermatopathology Laboratory Of Central States is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatopathology Laboratory Of Central States?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Dermatopathology Laboratory Of Central States. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatopathology Laboratory Of Central States 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 Dermatopathology Laboratory Of Central States accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource and 5 other insurers list Dermatopathology Laboratory Of Central States 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 Dermatopathology Laboratory Of Central States was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.