NPIMap

Organization Active NPI

Medipath, LLC

  • Clinical Medical Laboratory
  • Coral Gables, FL
National Provider Identifier
1407226350
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800026999 Issued in FL
Legal business name
MEDIPATH, LLC
Practice address
4665 Ponce de Leon Blvd
Coral Gables, FL 33146-2101
Phone
(786) 464-0749
Fax
(786) 953-5764
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Gina D Salazar
Title
Office Manager
Phone
(786) 464-0749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800026999 FL Primary

Addresses

Primary practice location

4665 Ponce de Leon Blvd
Coral Gables, FL 33146-2101

Mailing address

4665 Ponce de Leon Blvd
Coral Gables, FL 33146-2101
Phone (786) 464-0749

National Provider Directory

National Provider Directory
Tax ID family
Medipath LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

2931 Coral Way
Miami, FL 33145
Phone (305) 444-0074

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1407226350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462101",
            "telephone_number": "786-464-0749",
            "fax_number": "786-953-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462101",
            "telephone_number": "786-464-0749",
            "fax_number": "786-953-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "786-464-0749"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800026999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.