Active NPI
Histology Tech Services Inc
- Clinical Medical Laboratory
- Gainesville, FL
National Provider Identifier
1063495489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 800020165
- Legal business name
- HISTOLOGY TECH SERVICES INC
- Practice address
- 7314 W University Ave
Suite C
Gainesville, FL 32607-1640 - Phone
- (352) 331-0045
- Fax
- (352) 331-0028
- NPI assigned
- Nov 21, 2005
- 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
- Andrew J. Brown
- Title
- President
- Phone
- (352) 331-0045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 800020165 | FL | Primary |
Addresses
Primary practice location
7314 W University Ave
Suite C
Gainesville, FL 32607-1640
Mailing address
7314 W University Ave
Suite C
Gainesville, FL 32607-1640
Phone (352) 331-0045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E9170A | Other | FL | MEDICARE - PART B |
| L9288 | Other | FL | BC BS OF FLORIDA |
National Provider Directory
National Provider DirectoryLocations
7314 W University Ave
Ste C
Gainesville, FL 32607
Phone (352) 331-0045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467676800000",
"number": "1063495489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7314 W UNIVERSITY AVE",
"address_2": "SUITE C",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326071640",
"telephone_number": "352-331-0045",
"fax_number": "352-331-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7314 W UNIVERSITY AVE",
"address_2": "SUITE C",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326071640",
"telephone_number": "352-331-0045",
"fax_number": "352-331-0028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HISTOLOGY TECH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2016-07-05",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-331-0045"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "800020165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - PART B",
"identifier": "E9170A",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF FLORIDA",
"identifier": "L9288",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.