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ELITE DERMATOLOGY AND ESTHETICS LLC
NPI 1972374064
Dermatology in Vienna, VA

Active since January 09, 2024CLIA 49D2311172 · Waiver
8100 BOONE BLVD STE 230, VIENNA, VA 22182(703) 495-5555 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Dermatology And Esthetics Llc NPPES

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

ELITE DERMATOLOGY AND ESTHETICS LLC (NPI 1972374064) is a healthcare organization registered as a dermatology in Vienna, Virginia and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Saleh Rachidi, Owner, as its authorized official.

NPPES Registry Identity

NPI1972374064
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameELITE DERMATOLOGY AND ESTHETICS LLC
Location Address8100 BOONE BLVD STE 230Vienna, VA 22182-2642
Mailing Address8100 Boone Blvd Ste 230Vienna, VA 22182-2642 · (703) 495-5555
Phone(703) 495-5555
Organization SubpartNo
Authorized OfficialSaleh RachidiOwner · (843) 327-2910
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1972374064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
8100 BOONE BLVD STE 230, Vienna, VA 22182
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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 Waiver 49D2311172

Elite Dermatology And Esthetics LLC · Vienna, VA
Active · expires Sep 17, 2026
CLIA Number49D2311172
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorSaleh Rachidi
Laboratory Phone(703) 495-5555
Laboratory LocationElite Dermatology And Esthetics LLC8100 Boone Blvd, Suite 230, Vienna, VA 22182
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. SALEH RACHIDI MD, PHD
Dermatology
8100 BOONE BLVD STE 230
VIENNA, VA 22182
Fairfax County (703) 495-5555

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 Elite Dermatology And Esthetics LLC's NPI number?

The NPI number for Elite Dermatology And Esthetics LLC is 1972374064. It was assigned to this organization in the NPPES registry on January 9, 2024.

Where is Elite Dermatology And Esthetics LLC located?

Elite Dermatology And Esthetics LLC is located at 8100 Boone Blvd Ste 230, Vienna, VA 22182. The listed phone number is (703) 495-5555.

What is Elite Dermatology And Esthetics LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Elite Dermatology And Esthetics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2311172) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Dermatology And Esthetics LLC was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.