NPI age
5 years
Enumerated 2021-04-26
● Active Type 2 · Organization
Skinlab 360 Dermatology & Aesthetics Llc
Skinlab 360 Dermatology & Aesthetics Llc is 1 of 1263 physician assistant organizations in Idaho.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Anderson
Owner
Last NPPES update
2021-04-26
Source: monthly bulk 2026-05
How this organization compares
Across 1263 active physician assistant providers in Idaho.
NPI age
5 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-04Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
117 W Main St Ste 101
Rexburg, ID 834401826
Mailing address
Po Box 3625
Idaho Falls, ID 834033625
Authorized official
Julie Anderson, PA-C
Owner
📞 2087090478
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Julie Anderson, P.A. Physician Assistant NPI 1215237896
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.