Ameripath Florida LLC
Organization Active NPI Clinical Medical Laboratory · Clermont, FL
NPI 1164293304 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1164293304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- AMERIPATH FLORIDA LLC
- Practice address
- 1900 Don Wickham Dr
Clermont, FL 34711-1979 - Phone
- (407) 587-4484
- NPI assigned
- Jan 15, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERIPATH INC
Authorized official
- Name
- Darren Thomas Wheeler, MD
- Title
- Vice President
- Phone
- (702) 733-7866
Other NPIs on the same Medicare enrollment 21
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0883936 | Ameripath Florida LLC | Accreditation | Aug 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| 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… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
1900 Don Wickham Dr
Clermont, FL 34711-1979
Mailing address
14275 Midway Rd Ste 400
Addison, TX 75001-3661
Phone (866) 697-8378
Other providers in Clermont, FL
- David Alvarez
- Amani Path ABA LLC
- Isabella Alexa Amaro
- Sohaila Kamal Abdelmajed Amer
- America Choice Family Clinic and Behavior Health
- Ameripath Hospital Services-Florida LLC
- Jinal Amin
- Syed Morteza Amouzegar
- Anant LLC
- Anchor Behavioral Solutions LLC
All providers in Clermont, FL · Clinical Medical Laboratory in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.