Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dermpath Lab LLC

Organization Clinical Medical Laboratory · NPI 1295879278

Dermpath Lab LLC is a Clinical Medical Laboratory in Boca Raton, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1599 NW 9th Ave Ste 4
Boca Raton, FL 33486-1310
Phone: (561) 393-8578
Fax: (561) 393-8574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X (FL)

Record details

NPI number1295879278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russel Glaun — Manager · (561) 706-4843
Other names Dermpath Lab
NPI enumeratedFebruary 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1599 Nw 9th Ave, Suite 4, Boca Raton, FL 33486-1310

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