CLEVELAND SKIN PATHOLOGY LABORATORY, INC – Dermatopathology Physician, NPI 1336128164

CLEVELAND SKIN PATHOLOGY LABORATORY, INC is a healthcare provider. based in Palm beach gardens, Florida. specializing in Dermatopathology Physician. The organization holds a License No. CLIA 36D0656050 (OH). The NPI Number for CLEVELAND SKIN PATHOLOGY LABORATORY, INC is 1336128164

Main info

Organization
Name
CLEVELAND SKIN PATHOLOGY LABORATORY, INC
NPI
1336128164
Phone
(561) 514-5822
Address
11025 RCA CENTER DRIVE
Authorized Official
DINA VALLADARES DIRECTOR OF CREDENTIALING & PE
Enumeration Date
11 January 2006
Last Update Date
21 September 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CLEVELAND SKIN PATHOLOGY LABORATORY, INC

  • RCA Center Drive, Monet, Palm Beach Gardens, North Palm Beach, Palm Beach County, Florida, 33410, United States

    SUITE 300

    PALM BEACH GARDENS, FL 33410

    Phone: (561) 514-5822

    Type: Mailing

  • 3737, Park East Drive, Beachwood, Cuyahoga County, Ohio, 44122, United States

    SUITE #202

    BEACHWOOD, OH 44122

    Phone: (216) 464-7770

    Fax: (216) 464-7531

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20081002000507OIndependent Clinical LaboratoryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity20,00311,406$0
88304Pathology examination of tissue using a microscope, moderately low complexity638584$0
88350Antibody evaluation, each additional single antibody stain procedure508125$0
88312Special stained specimen slides to identify organisms including interpretation and report496411$0
88341Special stained specimen slides to examine tissue, each additional procedure26782$0
View full utilization report →

Insurance plans in this area (ZIP 33410)

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Reviews

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Frequently asked questions

Is CLEVELAND SKIN PATHOLOGY LABORATORY, INC listed with a National Provider Identifier?
Yes — CLEVELAND SKIN PATHOLOGY LABORATORY, INC has NPI 1336128164 on file in the registry.
Is there an active status for CLEVELAND SKIN PATHOLOGY LABORATORY, INC?
For scheduling context, CLEVELAND SKIN PATHOLOGY LABORATORY, INC is shown as active in the registry.
What kind of doctor is CLEVELAND SKIN PATHOLOGY LABORATORY, INC?
CLEVELAND SKIN PATHOLOGY LABORATORY, INC is associated with Dermatopathology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is CLEVELAND SKIN PATHOLOGY LABORATORY, INC associated with Palm Beach Gardens?
Public fields place CLEVELAND SKIN PATHOLOGY LABORATORY, INC around Palm Beach Gardens, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for CLEVELAND SKIN PATHOLOGY LABORATORY, INC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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