POLARIS SKIN DIAGNOSTICS, LLC – NPI #1215575238
Dermatology
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
POLARIS SKIN DIAGNOSTICS, LLC is a dermatologist located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1215575238 to POLARIS SKIN DIAGNOSTICS, LLC on December 20, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology
The NPI profile was last updated on Nov 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for POLARIS SKIN DIAGNOSTICS, LLC below.
NPI Profile for
POLARIS SKIN DIAGNOSTICS, LLC
(more than 6 years ago)
SUITE 100
MYRTLE BEACH, SC 29572 Phone: (917) 756-0188 Fax:
MYRTLE BEACH, SC 29572-4127 Phone: (843) 282-1915 Fax: (843) 839-1812
OWNER
Phone: (917) 756-0188
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Identifiers for POLARIS SKIN DIAGNOSTICS, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | SC | GP9511 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207ND0900X - Dermatology / Dermatopathology (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.