Beth Anne Dibiasio, MT(ASCP)

Primary specialty

Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X

License

SU26859 Issued in FL

Practice address

4800 SW 35TH Dr
Core Lab, RM 1106
Gainesville, FL 32608

Phone

(352) 265-0680

Fax

(352) 265-9971

NPI assigned

Feb 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Beth Anne Thomas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1396984712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16310 SW 60TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344815318",
            "telephone_number": "352-209-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SW 35TH DR",
            "address_2": "CORE LAB, RM 1106",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-265-0680",
            "fax_number": "352-265-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBIASIO",
        "first_name": "BETH",
        "middle_name": "ANNE",
        "credential": "MT(ASCP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "FL",
            "license": "SU26859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "THOMAS",
            "middle_name": "ANNE",
            "credential": "MT(ASCP)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sabrina Diaz, DMD
• Teocali Diaz, PHARMD
• Vivian Diaz, BDS
• Tavenner Tathen Dibert, M.D.
• Jessica Elizabeth Dibianco, MSN, FNP-BC
• Elizabeth C Dicarlo, CNM
• Lauren Dickens, DMD
• Sara Dickerman, SLP
• Ashley Dickerson
• Laura C. Dickerson, MD

• Pathology Specialist/Technologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Pathology Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.