Organization Active NPI

Histology Tech Services Inc

  • Clinical Medical Laboratory
  • Gainesville, FL
National Provider Identifier
1063495489
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800020165 Issued in FL
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

Updated by the provider on Jul 5, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
E9170AOtherFLMEDICARE - PART B
L9288OtherFLBC BS OF FLORIDA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.