Active NPI
Cap Diagnostics LLC
- Clinical Medical Laboratory
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CAP DIAGNOSTICS LLC
- Practice address
- 59 Skyline Dr Ste 1100
Lake Mary, FL 32746-6221 - Phone
- (714) 966-1221
- NPI assigned
- Aug 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Delbridge
- Title
- Compliance
- Phone
- (714) 966-1221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
59 Skyline Dr Ste 1100
Lake Mary, FL 32746-6221
Mailing address
15545 Sand Canyon Ave Ste 100&200
Irvine, CA 92618-3114
Phone (714) 966-1221
Other names 1
- Pathnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220928001718 | FL | Part B Supplier - Independent Clinical Laboratory | 1951560705 | Practice locations: Lake Mary, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2269099 | Cap Diagnostics LLC Dba Pathnostics | Compliance | Feb 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Cap Diagnostics LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Irvine, CA
- NPI 1659655124
-
- Clinical Medical Laboratory
- Royal Oak, MI
- NPI 1891279931
Locations
15545 Sand Canyon Ave
Ste 100200
Irvine, CA 92618
Phone (714) 966-1221
59 Skyline Dr
Ste 1100
Lake Mary, FL 32746
Phone (714) 966-1221
31205 Woodward Ave
Royal Oak, MI 48073
Phone (712) 966-1221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1508594136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15545 SAND CANYON AVE STE 100&200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183114",
"telephone_number": "714-966-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 SKYLINE DR STE 1100",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327466221",
"telephone_number": "714-966-1221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAP DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-11",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "DELBRIDGE",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "COMPLIANCE",
"authorized_official_telephone_number": "714-966-1221"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pathnostics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pathnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.