Histopath Lab, PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800001816 Issued in FL

Legal business name

HISTOPATH LAB, PA

Practice address

2671 W Norvell Bryant Hwy
Lecanto, FL 34461-9440

Phone

(352) 527-1344

Fax

(352) 527-2259

NPI assigned

Feb 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Alexander

Title

Vice President

Phone

(352) 527-1344

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1326010398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 W NORVELL BRYANT HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619440",
            "telephone_number": "352-527-1344",
            "fax_number": "352-527-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 W NORVELL BRYANT HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619440",
            "telephone_number": "352-527-1344",
            "fax_number": "352-527-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISTOPATH LAB, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-527-1344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800001816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009504100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326010398",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicky Lynn Henigar, PTA
• Brittney Ann Hernandez
• Hills-Citrus Holdings of Lecanto LLC
• Nancy Hindalong, APRN
• Eric W Hirsch, M.D.
• Histopath Lab, PA- Genomics
• Histopath Lab, PA- Toxicology
• Jessica Hoag, APRN
• Holiday CVS, L.L.C
• Robin Holloway, ARNP

• Clinical Medical Laboratory in Lecanto, FL
• Providers in Lecanto, 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 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.