Organization
DERMPATH NEW ENGLAND, LLC
Active
Organization
DERMPATH NEW ENGLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA VALLADARES (SENIOR DIRECTOR)
(954) 803-9405
Entity
Organization
Contact information
Practice address
20 WALNUT ST STE 301, WELLESLEY, MA 02481-2104
(617) 254-7284
(617) 254-4116
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(615) 145-8225
(844) 751-9263
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3429
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110074861A
—
MA
01
—
22D1049111
CLIA
MA
Enumeration date
10/13/2006
Last updated
04/07/2026
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