Active NPI
Second Look Pathology, LLC
- Clinical Medical Laboratory
- Sarasota, FL
National Provider Identifier
1053684191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2014
- 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
- David Bradley Durand, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Sarasota, FL
- NPI 1013280130
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.