Active NPI
Diagnostic Pathology Associates PA
- Anatomic Pathology & Clinical Pathology Physician
- Leesburg, FL
National Provider Identifier
1306845060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- DIAGNOSTIC PATHOLOGY ASSOCIATES PA
- Practice address
- 600 E Dixie Ave
Leesburg, FL 34748-5925 - Phone
- (352) 323-5300
- NPI assigned
- Jul 15, 2005
- Last updated
- Mar 27, 2008
- Organization subpart
- Yes
- Parent organization
- DIAGNOSTIC PATHOLOGY ASSOCIATES PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clifton L Bridges Jr., MD
- Title
- MD President
- Phone
- (352) 323-5300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
600 E Dixie Ave
Leesburg, FL 34748-5925
Mailing address
5755 Hoover Blvd
Tampa, FL 33634-5340
Phone (866) 944-0404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94814 | Other | FL | BCBS OF FL |
| DD0960 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider Directory- Part of
- Diagnostic Pathology Assoc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Richmond, VA
- NPI 1194724856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1306845060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5755 HOOVER BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345340",
"telephone_number": "866-944-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485925",
"telephone_number": "352-323-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC PATHOLOGY ASSOCIATES PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIAGNOSTIC PATHOLOGY ASSOCIATES PA",
"enumeration_date": "2005-07-15",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "BRIDGES",
"authorized_official_first_name": "CLIFTON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MD PRESIDENT",
"authorized_official_telephone_number": "352-323-5300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "94814",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD0960",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.