SOUTHEASTERN DERMATOPATHOLOGY, LLC
NPI 1932497492
Clinical Medical Laboratory in Cumming, GA
About Southeastern Dermatopathology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN DERMATOPATHOLOGY, LLC (NPI 1932497492) is a healthcare organization registered as a clinical medical laboratory in Cumming, Georgia and active in the NPI registry since July 2011. The organization holds a CLIA Certificate of Compliance certificate valid through September 28, 2027 and lists Molly Bouldin, Laboratory Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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 11D2025057
Southeastern Dermatopathology, LLC · Cumming, GAFrequently 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 Southeastern Dermatopathology, LLC's NPI number?
The NPI number for Southeastern Dermatopathology, LLC is 1932497492. It was assigned to this organization in the NPPES registry on July 19, 2011.
Where is Southeastern Dermatopathology, LLC located?
Southeastern Dermatopathology, LLC is located at 1067 Windermere Xing, Cumming, GA 30041. The listed phone number is (205) 910-6852.
What is Southeastern Dermatopathology, LLC's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Does Southeastern Dermatopathology, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 11D2025057) is associated with this NPI, valid through September 28, 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 Southeastern Dermatopathology, LLC was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.