Active NPI
Integrated Regional Laboratories Pathology Services, LLC
- Anatomic Pathology & Clinical Pathology Physician
- Homestead, FL
National Provider Identifier
1003711201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
- Practice address
- 14190 SW 288 Street
Homestead, FL 33033 - Phone
- (954) 507-6780
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Jamaine Davis
- Title
- Coo
- Phone
- (561) 402-4256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | Primary |
Addresses
Primary practice location
14190 SW 288 Street
Homestead, FL 33033
Mailing address
PO Box 741087
Atlanta, GA 30374-1087
Phone (954) 507-6780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1003711201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741087",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741087",
"telephone_number": "954-507-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14190 SW 288 STREET",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "33033",
"telephone_number": "954-507-6780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JAMAINE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "561-402-4256"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
- Infinite Complete Care, LLC (Infinite Complete Care)
- Innovative Behavioral Health Services, LLC
- Insight Healthcare & Wellness, LLC
- Integral Medical Group Inc
- Integrated Habilitation Services
- Integrative Health and Nutrition
- Intentional Provisions Outreach Corporation
- Interamerican Medical Center Group LLC (Imc Health)
- Interamerican Medical Center Group LLC (IMC Health)
- International Medical Equipment Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.