Independent Clinical Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800001312 Issued in FL

Legal business name

INDEPENDENT CLINICAL LABORATORIES LLC

Practice address

3110 Cherry Palm Dr
Suite 340
Tampa, FL 33619-8304

Phone

(813) 932-0374

Fax

(813) 931-0658

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Daniel Nodes

Title

Coo

Phone

(854) 429-1069

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KorPath Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Verify Diagnostics LLC

  • Clinical Medical Laboratory
  • Blue Bell, PA
  • NPI 1336938851

  Member Of

  NPD member

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael B Morgan, MD

  • Dermatopathology (Pathology) Physician
  • Panama City, FL
  • NPI 1407835184
  NPD
• Patricia N Moody, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lakeland, FL
  • NPI 1033308028
  NPD (past)
• Jose Vicente Suarezhoyos, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
  • NPI 1639242324
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1285707943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WESTEDGE ST STE 800",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294036984",
            "telephone_number": "854-429-1069",
            "fax_number": "833-247-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CHERRY PALM DR",
            "address_2": "SUITE 340",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198304",
            "telephone_number": "813-932-0374",
            "fax_number": "813-931-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT CLINICAL LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "NODES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "854-429-1069"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800001312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030103500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KorPath",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Ina, PT, DPT
• Richard Ina, M.D.
• Ernest Inacay, M.D.
• Linda Tomomi Inatsuka, PH.D.
• Lisa J Indelicato, M.S.CCC/SLP
• Independent Living Inc.
• Independent Living Inc.
• Independent Medical Group, LLC.
• Indi Vasudeva Nephrology Inc
• Indi Vasudeva Services Inc

• All providers in Tampa, FL
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.