NPIMap

Organization Active NPI

Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Fort Myers, FL
National Provider Identifier
1407820889
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D0294870 Issued in FL
Legal business name
AMERIPATH FLORIDA LLC
Practice address
1620 Medical LN
Suite 100
Fort Myers, FL 33907-1143
Phone
(239) 275-1164
Fax
(239) 275-5212
NPI assigned
Feb 14, 2006
Organization subpart
Yes
Parent organization
AMERIPATH INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Authorized official

Name
Darren Thomas Wheeler, MD
Title
Vice President
Phone
(702) 733-7866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D0294870 FL Primary
Clinical Medical Laboratory 291U00000X 10D0696966 FL

Addresses

Primary practice location

1620 Medical LN
Suite 100
Fort Myers, FL 33907-1143

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614

Other practice location 1

23450 Via Coconut Pt
Estero, FL 34135-1877
Phone (239) 468-0181

Other names 1

  • ASWF Other name

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

Locations

1620 Medical Ln
Ste 100
Fort Myers, FL 33907
Phone (239) 939-2305

16684 Collection Center Dr
#69000
Chicago, IL 60693

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748649600000",
    "number": "1407820889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MEDICAL LN",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071143",
            "telephone_number": "239-275-1164",
            "fax_number": "239-275-5212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23450 Via Coconut Pt",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "341351877",
            "country_code": "US",
            "telephone_number": "239-468-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERIPATH FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC.",
        "enumeration_date": "2006-02-14",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "702-733-7866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D0294870",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D0696966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASWF",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ASWF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.