United Pathologist Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800020973 Issued in FL

Legal business name

UNITED PATHOLOGIST LABORATORY

Practice address

610 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3450

Phone

(386) 423-5500

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mark Nagrani, MDNPI 1699717611

Title

President

Phone

(386) 423-5500

Specialties & licenses 1

Addresses

Tax ID family

Mark Nagrani MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mark Nagrani, MD Inc

  • Clinical Medical Laboratory
  • New Smyrna Beach, FL
  • NPI 1891069936
  NPD tax ID

Locations

Practitioners 1

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

• Mark Nagrani, M.D.

  • Specialist
  • New Smyrna Beach, FL
  • NPI 1699717611
  NPD (past) Authorized official

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1508101007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033450",
            "telephone_number": "386-423-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PATHOLOGIST LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "NAGRANI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-423-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800020973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Healthcare Center Inc
• United Healthcare Center Inc
• United Healthcare Products, LLC
• United Medical Supply USA LLC
• United Pain Devices, LLC
• United Seating and Mobility LLC
• United States Coast Guard
• United States Management
• United Surgical Assistants NA Inc
• Unity Medical Center PL

• Clinical Medical Laboratory in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.