NPIMap

Organization Active NPI

Halifax Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Deltona, FL
National Provider Identifier
1124711221
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
HALIFAX PATHOLOGY ASSOCIATES PA
Practice address
3300 E Halifax Crossing Blvd
Deltona, FL 32725-2911
Phone
(386) 425-4139
NPI assigned
Jun 2, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Lora J. Shehi
Title
President, Authorized Official
Phone
(386) 425-4139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary

Addresses

Primary practice location

3300 E Halifax Crossing Blvd
Deltona, FL 32725-2911

Mailing address

PO Box 935088
Atlanta, GA 31193-5088

National Provider Directory

National Provider Directory
Tax ID family
Halifax Pathology Associates PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1124711221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935088",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311935088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E HALIFAX CROSSING BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327252911",
            "telephone_number": "386-425-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "SHEHI",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "386-425-4139"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.