Organization Active NPI

Second Look Pathology, LLC

  • Clinical Medical Laboratory
  • Sarasota, FL
National Provider Identifier
1053684191
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SECOND LOOK PATHOLOGY, LLC
Practice address
5445 Matthew CT
Sarasota, FL 34231-6355
Phone
(941) 554-4064
Fax
(941) 554-4064
NPI assigned
Feb 21, 2012
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Bradley Durand, M.D.NPI 1013280130
Title
Ceo and Laboratory Director
Phone
(941) 554-4064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5445 Matthew CT
Sarasota, FL 34231-6355

Mailing address

5445 Matthew CT
Sarasota, FL 34231-6355
Phone (941) 554-4064

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1053684191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 MATTHEW CT",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316355",
            "telephone_number": "941-554-4064",
            "fax_number": "941-554-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MATTHEW CT",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316355",
            "telephone_number": "941-554-4064",
            "fax_number": "941-554-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND LOOK PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "DURAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO AND LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "941-554-4064",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.