Ameripath Florida LLC
Organization Active NPI Clinical Medical Laboratory · Tampa, FL
NPI 1306025697 · NPPES record last updated Apr 5, 2022
Key facts
- NPI
- 1306025697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 10D0938449 (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
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERIPATH INC.
Authorized official
- Name
- Kristie M Dolan
- Title
- Vice President
- Phone
- (866) 697-8378
Other NPIs on the same Medicare enrollment 21
Corporate family (same tax ID) 11
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0938449 | Ameripath Florida LLC D/B/a | Accreditation | Dec 15, 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
- Tax ID family
- Ameripath Florida LLC
Locations
745 Orienta Ave
Altamonte Springs, FL 32701
Phone (407) 339-2910
10500 University Center Dr
Ste 250
Tampa, FL 33612
14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 10D0938449 | FL | Yes |
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
- Bay Area Dermatopathology
Other providers in Tampa, FL
- American Supply & Equipment Corp.
- American Well Care, Inc.
- Americare Home Health Agency Inc
- Amerigroup Florida, Inc.
- Amerimed Diagnostic Services, Inc.
- Ameripath Florida LLC
- Ameripath Florida LLC
- Ameriwound Physicians FL LLC
- Erica Marie Amerson
- Ailer Ametller Montalvan
All providers in Tampa, 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 Apr 5, 2022. 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.