NPIMap

Halifax Pathology Associates PA

Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Port Orange, FL

NPI 1013728898 · NPPES record last updated Jan 20, 2025

Key facts

NPI
1013728898
Entity type
Organization (NPI type 2)
Primary specialty
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Legal business name
HALIFAX PATHOLOGY ASSOCIATES PA
Practice address
6225 S Williamson Blvd
Port Orange, FL 32128-6094
Phone
(386) 425-4139
NPI assigned
Jan 20, 2025
Organization subpart
No

Authorized official

Name
Lora J. Shehi
Title
President
Phone
(386) 425-4139

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Halifax Pathology Associates PA (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207ZP0102X Yes

Addresses

Primary practice location

6225 S Williamson Blvd
Port Orange, FL 32128-6094

Mailing address

PO Box 935088
Atlanta, GA 31193-5088

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 20, 2025.

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1013728898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935088",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311935088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 S WILLIAMSON BLVD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286094",
            "telephone_number": "386-425-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "SHEHI",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-425-4139"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

All providers in Port Orange, FL · Anatomic Pathology & Clinical Pathology Physician in Florida

Sources for this page

Verify at the official NPI Registry.