NPIMap

Organization Active NPI

Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Ocala, FL
National Provider Identifier
1386336949
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AMERIPATH FLORIDA LLC
Practice address
1797 SE 89TH LN
Ocala, FL 34480-9335
Phone
(239) 275-1164
Fax
(239) 275-5212
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERIPATH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Kristie M Dolan
Title
Vice President
Phone
(866) 697-8378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1797 SE 89TH LN
Ocala, FL 34480-9335

Mailing address

14275 Midway Rd Ste 400
Addison, TX 75001-3614
Phone (866) 836-7136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722000893 FL Part B Supplier - Independent Clinical Laboratory 4284536640 Receives reassigned benefits from 1 practitioner
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Port Saint Lucie, FL; Winter Haven, FL; Tampa, FL; St Johns, FL; Pompano Beach, FL; Ocala, FL; Altamonte Springs, FL; Fort Myers, FL…

Other NPIs on the same Medicare enrollment 21

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

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Ameripath Florida LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1386336949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "866-836-7136",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 SE 89TH LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344809335",
            "telephone_number": "239-275-1164",
            "fax_number": "239-275-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPATH FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH, INC",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "866-697-8378"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.