Ameripath Consolidated Labs Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D0645438 Issued in FL

Legal business name

AMERIPATH CONSOLIDATED LABS INC.

Practice address

895 SW 30TH Ave
Suite 201
Pompano Beach, FL 33069-4887

Phone

(800) 330-6770

NPI assigned

Nov 15, 2006

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

AMERIPATH INCAs reported in NPPES

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

Authorized official

Name

Mr. Michael H Greene

Title

VP

Phone

(214) 932-8270

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1346313822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 FAIRWAY DR",
            "address_2": "SUITE 400",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184207",
            "telephone_number": "561-712-6265",
            "fax_number": "561-712-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 SW 30TH AVE",
            "address_2": "SUITE 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694887",
            "telephone_number": "800-330-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPATH CONSOLIDATED LABS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "214-932-8270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D0645438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D0645438",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Diagnostics Group LLC
• American Mail Order Pharmacy LLC
• Americare Plus, Inc
• Americas Bright Smiles of Pompano Beach (Americas Bright Smiles)
• Amerimed Pharmaceutical Services, LLC
• Ameripath Florida LLC (AmeriPath South Florida)
• Amicus Medical Center LLC
• Amicus Medical Center LLC
• Amicus Medical Center LLC
• Yeiza Amit, LCSW

• Clinical Medical Laboratory in Pompano Beach, FL
• Providers in Pompano Beach, 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 Sep 24, 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.

Verify at the official NPI Registry.