Organization · Type 2 NPI

Cutaneous and Maxillofacial Pathology Laboratory, PC

Clinical Medical Laboratory · Indianapolis, IN

NPI number 1386717940 Active

Practice location

9292 N. Meridian St., Suite 210
Indianapolis, IN 46260-1828

Fax (317) 843-2478

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	15D0647261 (IN)
Clinical Medical Laboratory	291U00000X	None listed

Clinical Medical Laboratory: (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 det…

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NPI record

NPI: 1386717940
Entity type: Organization (Type 2)
Issued: Nov 15, 2006
Last updated: Jun 10, 2019
Status: Active

Other names

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Dermatopathology Laboratory · former legal business name
Dermatopathology Laboratory · former legal business name

Authorized official

Christy D. Lynn
Billing Clerk
(317) 843-2204

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386717940

Cutaneous and Maxillofacial Pathology Laboratory, PC's National Provider Identifier is 1386717940, issued on Nov 15, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 10, 2019.