Twin Cities Dermatopathology, Llc
LBN: Twin Cities Dermatopathology, Llc
Twin Cities Dermatopathology, Llc is an health care organization with primary practice located at 9900 13Th Avenue North Suite 2A, Plymouth MN 55441-5035. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Dermatopathology is the primary health care specialty.
Twin Cities Dermatopathology, Llc can be contacted via phone (763) 525-0363, or through Valladares, Dina via phone (954) 803-9405.
Contact Information
Primary practice address
9900 13Th Avenue North Suite 2A
Plymouth MN 55441-5035
Phone: (763) 525-0363
Fax: (763) 525-0369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 1279 | Minnesota |
| Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
| NPI number | 1144223009 |
|---|---|
| LBN Legal business name | Twin Cities Dermatopathology, Llc |
| DBA Doing business as | |
| Authorized official | Valladares, Dina |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Sep 3rd, 2026 - about last month |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144223009 | NPPES |
| Other | 24D0651415 | CLIA | |
| MEDICAID | 32939100 | CLIA | |
| Other | 46D2240159 | CLIA | |
| MEDICAID | 732527400 | CLIA |
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