Hematopathology Associates LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800017597 Issued in FL

Legal business name

HEMATOPATHOLOGY ASSOCIATES LLC

Practice address

805 Executive Center Dr W Ste 300
St Petersburg, FL 33702-2407

Phone

(727) 201-1890

Fax

(727) 275-1975

NPI assigned

Sep 26, 2006

Organization subpart

Yes

Parent organization

HEMATOPATHOLOGY ASSOCIATES LLCAs reported in NPPES

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

Authorized official

Name

Bryon Wolf

Title

Owner

Phone

(727) 201-1890

Specialties & licenses 1

Addresses

Other names 1

• Bio-Genetics Laboratory Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Hematopathology Associates LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hpa Holdings, LLC

  • Clinical Medical Laboratory
  • Franklin, TN
  • NPI 1649867235

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1164523478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 EXECUTIVE CENTER DR W STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022407",
            "telephone_number": "727-201-1890",
            "fax_number": "727-275-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EXECUTIVE CENTER DR W STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022407",
            "telephone_number": "727-201-1890",
            "fax_number": "727-275-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOPATHOLOGY ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEMATOPATHOLOGY ASSOCIATES LLC",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "BRYON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-201-1890"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800017597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bio-Genetics Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kelly Helsel, RPH
• Nicole Hemby, APRN
• Ronald Hemingway
• Anna Hemminger, MD
• Kelly D Henchel, MD
• Caitlin Dunbar Henderson

• Clinical Medical Laboratory in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.

Verify at the official NPI Registry.