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

Fort Wayne Dermatology Consultants Inc

Organization Clinical Medical Laboratory · NPI 1235940784

Fort Wayne Dermatology Consultants Inc is a Clinical Medical Laboratory in Fort Wayne, Indiana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7881 Carnegie Blvd
Fort Wayne, IN 46804-5792
Phone: (260) 436-8000
Fax: (260) 434-0929
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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

Record details

NPI number1235940784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Waggoner — Ceo · (260) 469-1444
NPI enumeratedJanuary 15, 2025
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address7881 Carnegie Blvd, Fort Wayne, IN 46804-5792

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