Organization Active NPI

Cap Diagnostics LLC

  • Clinical Medical Laboratory
  • Lake Mary, FL
National Provider Identifier
1508594136
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Feb 27, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2269099Cap Diagnostics LLC Dba Pathnostics59 Skyline Dr Ste 1100, Lake Mary, FL 32746ComplianceFeb 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cap Diagnostics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.