Organization Active NPI

Women'S Pathology Laboratories PA

  • Anatomic Pathology & Clinical Pathology Physician
  • St Petersburg, FL
National Provider Identifier
1104168319
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
WOMEN'S PATHOLOGY LABORATORIES PA
Practice address
1560 Central Ave
#207
St Petersburg, FL 33705-1605
Phone
(305) 849-3321
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Dr. Jamie Shutter, M.D.
Title
President
Phone
(305) 849-3321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

1560 Central Ave
#207
St Petersburg, FL 33705-1605

Mailing address

1560 Central Ave
#207
St Petersburg, FL 33705-1605
Phone (305) 849-3321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1104168319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 CENTRAL AVE",
            "address_2": "#207",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051605",
            "telephone_number": "305-849-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 CENTRAL AVE",
            "address_2": "#207",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051605",
            "telephone_number": "305-849-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S PATHOLOGY LABORATORIES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "SHUTTER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-849-3321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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 St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.