OrganizationActive
Southeastern Dermatopathology, LLC
NPI 1932497492 · Clinical Medical Laboratory · Cumming, GA
Southeastern Dermatopathology, LLC is a Clinical Medical Laboratory organization in Cumming, GA (NPI 1932497492).
Provider details
- NPI number
- 1932497492
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Molly Bouldin, Laboratory Director(205) 910-6852
- License
- 47704 (GA)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1067 Windermere Xing
Cumming, GA 30041-6104
Phone: (205) 910-6852
Street-level locationGet directions
Mailing address
1067 Windermere Xing
Cumming, GA 30041-6104
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2011-07-19
Frequently asked questions
- What is Southeastern Dermatopathology, LLC's NPI number?
- Southeastern Dermatopathology, LLC's National Provider Identifier (NPI) is 1932497492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Dermatopathology, LLC?
- Southeastern Dermatopathology, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Southeastern Dermatopathology, LLC located?
- Southeastern Dermatopathology, LLC's practice location on file with NPPES is 1067 Windermere Xing, Cumming, GA 30041-6104.
- What is Southeastern Dermatopathology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Dermatopathology, LLC is (205) 910-6852.
- Who is the authorized official for Southeastern Dermatopathology, LLC?
- The authorized official listed on Southeastern Dermatopathology, LLC's NPPES record is Molly Bouldin, Laboratory Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Dermatopathology, LLC's NPI active?
- Yes — Southeastern Dermatopathology, LLC's NPI (1932497492) is active in the NPPES registry as of the last update on 2011-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.