Cleveland Skin Pathology Laboratory, Inc

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

Legal business name

CLEVELAND SKIN PATHOLOGY LABORATORY, INC

Practice address

3737 Park East Dr Ste 202
Beachwood, OH 44122-4347

Phone

(216) 464-7770

Fax

(844) 751-9263

NPI assigned

Nov 18, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dina Valladares

Title

Sr. Director

Phone

(561) 514-5822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cleveland Skin Pathology Laboratory, Inc

  • Dermatopathology Physician
  • Beachwood, OH
  • NPI 1336128164

  9537237664

  Same PAC ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy T Chang, M.D.

  • Dermatopathology Physician
  • Cleveland, OH
  • NPI 1447372446
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1669332987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 PARK EAST DR STE 202",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224347",
            "telephone_number": "216-464-7770",
            "fax_number": "844-751-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND SKIN PATHOLOGY LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "561-514-5822"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleveland Kidney Disease Associates
• Cleveland Nutrition, LLC
• Cleveland Pain Management and Acupuncture LLC
• Cleveland Shoulder Institute, LLC
• Cleveland Skin Pathology Laboratory, Inc
• Clinic Regional Physicians LLC
• Kimberly Katherine Clipper, LPCC
• Colleen Cloherty
• Christy Clore
• Shannon Coates, MSW, LSW

• Dermatopathology (Pathology) Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Dermatopathology (Pathology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.