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Southeastern Dermatopathology, LLC

Clinical Medical Laboratory in Cumming, GA · enumerated 2011 · authorized official Molly Bouldin, Laboratory Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932497492

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Registry record

Entity type Organization (Type 2)
Legal business name Southeastern Dermatopathology, LLC
Practice address 1067 Windermere Xing, Cumming, GA, 30041
Phone (205) 910-6852
Enumeration date Jul 19, 2011
Last updated in NPPES Jul 19, 2011

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories · License 47704 (GA) Primary

Authorized official

Name Molly Bouldin
Title Laboratory Director
Phone (205) 910-6852

Other identifiers

Identifier Type State Issuer
ME81020 Other - MEDICAL LICENSE FLORIDA
1174502827 Other - NPI TYPE 1
47704 Other - MEDICAL LICENSE GA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Southeastern Dermatopathology, LLC?
The NPI for Southeastern Dermatopathology, LLC is 1932497492, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southeastern Dermatopathology, LLC?
NPPES lists Molly Bouldin (Laboratory Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-19.