Active NPI
Ameripath Florida LLC
- Clinical Medical Laboratory
- Fort Myers, FL
National Provider Identifier
1114795853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- AMERIPATH FLORIDA LLC
- Practice address
- 8960 Colonial Center Dr Ofc Room1061
Fort Myers, FL 33905-7810 - Phone
- (239) 468-0181
- Fax
- (239) 275-1164
- NPI assigned
- Dec 12, 2023
- Last updated
- Dec 12, 2023
- Organization subpart
- Yes
- Parent organization
- AMERIPATH INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristie M Dolan
- Title
- Vice President
- Phone
- (866) 697-8378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
8960 Colonial Center Dr Ofc Room1061
Fort Myers, FL 33905-7810
Mailing address
14275 Midway Rd Ste 400
Addison, TX 75001-3661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040722000893 | FL | Part B Supplier - Independent Clinical Laboratory | 4284536640 |
Receives reassigned benefits from 1 practitioner 22 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Port Saint Lucie, FL; Winter Haven, FL; Tampa, FL; St Johns, FL; Pompano Beach, FL; Ocala, FL; Altamonte Springs, FL; Fort Myers, FL… |
Other NPIs on the same Medicare enrollment 21
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba AmeriPath Central Florida (ACF)
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1619940517
O20040722000893
National Provider Directory
National Provider DirectoryLocations
8960 Colonial Center Dr
Ofc
Fort Myers, FL 33905
Phone (239) 468-0181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1114795853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD STE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013661",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8960 COLONIAL CENTER DR OFC ROOM1061",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057810",
"telephone_number": "239-468-0181",
"fax_number": "239-275-1164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERIPATH FLORIDA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERIPATH INC",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "DOLAN",
"authorized_official_first_name": "KRISTIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "866-697-8378"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
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- Ameripath Florida LLC
- Ameripath Florida LLC
- Ameripath Florida LLC
- Ameripath Florida LLC
- Ameripath Florida LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.