ADVANCED DERMATOLOGY AND SKIN CANCER CENTER
NPI 1710274014
Clinical Medical Laboratory in Boardman, OH

NPI Status: Active since July 07, 2011

Contact Information

987 BOARDMAN CANFIELD RD
BOARDMAN, OH
ZIP 44512
Phone: (330) 965-8760
Fax: (330) 965-9325

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  • Organization
  • Clinical Medical Laboratory

About ADVANCED DERMATOLOGY AND SKIN CANCER CENTER

This page provides the complete NPI Profile along with additional information for Advanced Dermatology And Skin Cancer Center, a provider established in Boardman, Ohio operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1710274014 assigned on July 2011. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Vicki Groner (Billing Manager)

NPI
1710274014
Provider Name
ADVANCED DERMATOLOGY AND SKIN CANCER CENTER
Entity Type
Organization
Location Address
987 BOARDMAN CANFIELD RD BOARDMAN, OH 44512
Location Phone
(330) 965-8760
Location Fax
(330) 965-9325
Mailing Address
987 BOARDMAN CANFIELD RD BOARDMAN, OH 44512
Mailing Phone
(330) 965-8760
Mailing Fax
(330) 965-9325
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2011
Last Update Date
10-20-2011
Code Navigator

Establishments like Advanced Dermatology And Skin Cancer Center are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

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

MRS. VICKI GRONER

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(330) 965-8760

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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.
1710274014
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272047802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 4 + 7 + 8 + 0 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1710274014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215923115 JOHN RAYMOND BERNAT M.D.
Individual
Specialist987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
(330) 965-8760
1316933260 PATRICK L. SHANNON M.D.
Individual
Specialist987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
(330) 965-8760
1508062712MRS. SARAH J KUDELKO PA-C
Individual
Physician Assistant987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
(330) 965-8760
1497912893ADVANCED DERMATOLOGY AND SKIN CANCER CENTER
Organization
Clinical Medical Laboratory987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
(330) 965-8760
1093020133DR. MARIEL BIRD D.O.
Individual
Dermatology987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
(330) 965-8760
1649887142 VANESSA D'ANGELO NP-C
Individual
Nurse Practitioner987 BOARDMAN CANFIELD RD
YOUNGSTOWN, OH 44512
(330) 965-8760
1104804707 ANNE R ZAJAC PA C
Individual
Physician Assistant (Medical)987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
(330) 271-8589
1770092900MISS TERESA MARIE SHAFFER CNP
Individual
Nurse Practitioner (Adult Health)987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
(330) 271-8589
1831187764OPTIMA DERMATOLOGY LLC
Organization
Dermatology987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
(330) 965-8760

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710274014, enumerated in the NPI registry as an "organization" on July 07, 2011

The provider is located at 987 Boardman Canfield Rd Boardman, Oh 44512 and the phone number is (330) 965-8760

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

This NPI record was last updated on July 07, 2011. 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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