NPIMap

Organization Active NPI

Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Tampa, FL
National Provider Identifier
1306025697
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D0938449 Issued in FL
Legal business name
AMERIPATH FLORIDA LLC
Practice address
10500 University Center Dr
Suite 200
Tampa, FL 33612-6497
Phone
(407) 473-0201
NPI assigned
Nov 2, 2007
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERIPATH INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D0938449 FL Primary

Addresses

Primary practice location

10500 University Center Dr
Suite 200
Tampa, FL 33612-6497

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614

Other names 1

  • Bay Area Dermatopathology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

View all 21

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0938449Ameripath Florida LLC D/B/a10500 University Center Dr Ste 200, Tampa, FL 33612AccreditationDec 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ameripath Florida LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1306025697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 UNIVERSITY CENTER DR",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126497",
            "telephone_number": "407-473-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPATH FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC.",
        "enumeration_date": "2007-11-02",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "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": "FL",
            "license": "10D0938449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Dermatopathology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bay Area Dermatopathology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.