Palmetto Pathology Services PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME14215 Issued in FL

Legal business name

PALMETTO PATHOLOGY SERVICES PA

Practice address

2601 SW 37TH Ave
Coral Gables, FL 33133-2700

Phone

(305) 441-6845

Fax

(305) 461-6911

NPI assigned

May 19, 2011

Organization subpart

No

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

Authorized official

Name

Frederick Lancet, MDNPI 1265489090

Title

President

Phone

(305) 822-6914

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Florida Pathology Services Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Palmetto Pathology Services, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Hialeah, FL
  • NPI 1356398499

  O20060216000411

  Same enrollment

Tax ID family

Florida Pathology Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Palmetto Pathology Services PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami, FL
  • NPI 1326331604
  NPD tax ID
• Palmetto Pathology Services, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Hialeah, FL
  • NPI 1356398499
  NPD tax ID

Practitioners 4

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

• Frederick Lancet, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Hialeah, FL
  • NPI 1265489090
  NPD Authorized official
• Benjamin Holloway Graham, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dunedin, FL
  • NPI 1326402371
  NPD
• Gustavo Isaac, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Hialeah, FL
  • NPI 1689614620
  NPD
• Luis Rey Martinez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Hialeah, FL
  • NPI 1538115852
  NPD

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1366735698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3093",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334310993",
            "telephone_number": "305-822-6914",
            "fax_number": "305-822-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331332700",
            "telephone_number": "305-441-6845",
            "fax_number": "305-461-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PATHOLOGY SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "LANCET",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-822-6914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME14215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373765901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Pathology Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Pathology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palm Beach Pediatric Infectious Diseases
• Palm Medical Center Hospitalist Group, LLC
• Palm Vascular Center of Coral Gables
• Palm Vascular Center of South Miami, LLC
• Ricardo Ismael Palmerola, M.D.
• Staci Lynn Palmore, PA-C
• Pand L Diverse Service Corp
• Graciela Paniagua
• Jennifer Pankow, LMHC
• Yenifer Pantaleon

• Anatomic Pathology & Clinical Pathology Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.