P Praxis·MD
● Active Type 2 · Organization

Ldc Dermatopathology, Llc

Clinical Medical Laboratory·Marietta, GA· NPI 1114363207 · Enumerated 2013 · 13 years on NPI
Ldc Dermatopathology, Llc is 1 of 621 clinical medical laboratory organizations in Georgia.
NPI age
13 years
Enumerated 2013-05-15
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cooper
Owner/president
Last NPPES update
2013-05-15
Source: monthly bulk 2026-05

How this organization compares

Across 621 active clinical medical laboratory providers in Georgia.

NPI age
13 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
4343 Shallowford Rd, Suite B3b
Marietta, GA 300625023
📞 6142735705fax 6787428486
Mailing address
4343 Shallowford Rd, Suite B3b
Marietta, GA 300625023
📞 6142735705fax 6787428486

Authorized official

Lynn D Cooper, MD
Owner/president
📞 6142735705

Individual providers at this organization

15 individual providers on file at this primary practice address.

Specialties

  • Clinical Medical Laboratory Primary
    (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
    GA license #61056 taxonomy 291U00000X

Identifiers

TypeValueNotes
05 (GA) APPLYING FOR

Practice context

Multi-provider organization. 15 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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