Tampa Bay Diagnostic Institute, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TAMPA BAY DIAGNOSTIC INSTITUTE, LLC

Practice address

106 N Evers St
Plant City, FL 33563-3330

Phone

(813) 763-5607

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Matthew B Chandler, MS, MTASCP

Title

Owner

Phone

(212) 734-6621

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Dmitry Y. Baschinsky, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
  • NPI 1316963671
  NPD (past)
• Juli G Jeffrey, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
  • NPI 1750629044
  NPD (past)

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1316614175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 HEMLOCK LN",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327802822",
            "telephone_number": "813-763-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N EVERS ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633330",
            "telephone_number": "813-763-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY DIAGNOSTIC INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-734-6621",
        "authorized_official_credential": "MS, MTASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA",
            "identifier": "31315",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ebony Sutton, M.S., ED.S, LSP
• Vicki M Sutton, DOULA
• Sykes Transit Care
• Alyssa Cookie Ta, M.D.
• Tampa Bay Clinical Counseling Group PLLC
• Tampa Obstetrics, P.a.
• Alan Tang
• Sheba Hollywood Tartt-Walker, MS, ED.D
• Maria Concepcion L Tayao, MD
• Helen M Tepper, ARNP

• Clinical Medical Laboratory in Plant City, FL
• Providers in Plant City, 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 Aug 6, 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.