Organization Active NPI

South Florida Pathology Laboratory

  • Clinical Medical Laboratory
  • Marathon, FL
National Provider Identifier
1477670776
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SOUTH FLORIDA PATHOLOGY LABORATORY
Practice address
11400 Overseas Hwy
209
Marathon, FL 33050-3600
Phone
(954) 370-1053
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Zhiming Li
Title
Medical Doctor
Phone
(954) 370-1053

Specialties & licenses 1

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

Addresses

Primary practice location

11400 Overseas Hwy
209
Marathon, FL 33050-3600

Mailing address

PO Box 17347
Plantation, FL 33318-7347
Phone (954) 370-1053

Other identifiers 1

IdentifierTypeStateIssuer
P0025697OtherFLMEDICARE RAILROAD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1477670776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17347",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333187347",
            "telephone_number": "954-370-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 OVERSEAS HWY",
            "address_2": "209",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503600",
            "telephone_number": "954-370-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PATHOLOGY LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "ZHIMING",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-370-1053"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P0025697",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.