LABORATORY OF DERMATOPATHOLOGY ADX, LLC
NPI 1487663860
Pathology - Dermatopathology in Woodbury, NY

NPI Status: Active since August 05, 2006

Contact Information

80 CROSSWAYS PARK DRIVE
SUITE 100
WOODBURY, NY
ZIP 11797
Phone: (516) 944-3883
Fax: (516) 833-2936

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  • Organization
  • Pathology
  • Dermatopathology
  • CLIA Number: 33D0143814
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 03-26-2027

About LABORATORY OF DERMATOPATHOLOGY ADX, LLC

This page provides the complete NPI Profile along with additional information for Laboratory Of Dermatopathology Adx, Llc, a provider established in Woodbury, New York operating as a Pathology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1487663860 assigned on August 2006. The practitioner's primary taxonomy code is 207ZD0900X with license number PFI 3199 (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Michael Grattendick (Cfo)

NPI
1487663860
Provider Name
LABORATORY OF DERMATOPATHOLOGY ADX, LLC
Entity Type
Organization
Location Address
80 CROSSWAYS PARK DRIVE SUITE 100 WOODBURY, NY 11797
Location Phone
(516) 944-3883
Location Fax
(516) 833-2936
Mailing Address
11025 RCA CENTER DR SUITE 300 PALM BEACH GARDENS, FL 33410
Mailing Phone
(561) 514-5822
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2006
Last Update Date
08-28-2019
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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

Pathology Dermatopathology

Taxonomy Code
207ZD0900X
Type
Allopathic & Osteopathic Physicians
License No.
PFI 3199
License State
NY
Taxonomy Description
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MICHAEL GRATTENDICK

Authorized Official Title
CFO
Authorized Official Phone
(561) 514-5822

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Pathology examination of tissue using a microscope, intermediate complexity

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.

This service was performed 34,580 times for 14,627 patients

Pathology examination of tissue using a microscope, moderately low complexity

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.

This service was performed 311 times for 272 patients

Special stained specimen slides to examine tissue including interpretation and report

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

This service was performed 153 times for 126 patients

Special stained specimen slides to examine tissue, each additional procedure

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.

This service was performed 3,734 times for 1,488 patients

Special stained specimen slides to examine tissue, each multiplex procedure

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

This service was performed 36 times for 33 patients

Special stained specimen slides to examine tissue, initial procedure

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.

This service was performed 3,597 times for 2,845 patients

Special stained specimen slides to identify organisms including interpretation and report

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.

This service was performed 1,693 times for 1,353 patients

Surgical pathology consultation and report on referred material requiring preparation of slides

A surgical pathology consultation involves the examination of tissue removed during surgery. The tissue is processed and slides are prepared for detailed study under a microscope. The findings are then compiled into a report to help guide your treatment plan.

This service was performed 17 times for 17 patients

Surgical pathology consultation and report on referred slides prepared elsewhere

A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.

This service was performed 64 times for 42 patients

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
33D0143814
Facility Type
Independent
Certificate Effective Date
August 28, 1995
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. XUAN WANG
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Laboratory Of Dermatopathology Adx, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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.
1487663860
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671266812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 2 + 6 + 6 + 8 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1487663860 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194127373AIM INTEGRATED MEDICINE
Organization
Allergy & Immunology (Allergy)80 CROSSWAYS PARK DRIVE SUITE 200
WOODBURY, NY 11797
(516) 802-5028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487663860, enumerated in the NPI registry as an "organization" on August 05, 2006

The provider is located at 80 Crossways Park Drive Suite 100 Woodbury, Ny 11797 and the phone number is (516) 944-3883

This medical organization specializes in Pathology with taxonomy code 207ZD0900X with a focus in Dermatopathology

The most common procedures or services performed by this practitioner are: Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, moderately low complexity, Special stained specimen slides to examine tissue including interpretation and report, Special stained specimen slides to examine tissue, each additional procedure, Special stained specimen slides to examine tissue, each multiplex procedure, Special stained specimen slides to examine tissue, initial procedure, Special stained specimen slides to identify organisms including interpretation and report, Surgical pathology consultation and report on referred material requiring preparation of slides and Surgical pathology consultation and report on referred slides prepared elsewhere.

The provider's CLIA number is 33D0143814 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on August 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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