Active NPI
Reliance Pathology Partners, LLC
- Clinical Medical Laboratory
- Tampa, FL
National Provider Identifier
1548274897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 800018934
- Legal business name
- RELIANCE PATHOLOGY PARTNERS, LLC
- Practice address
- 5747 Hoover Blvd
Tampa, FL 33634-5340 - Phone
- (813) 886-8334
- Fax
- (813) 890-0143
- NPI assigned
- Jul 29, 2006
- Last updated
- Jan 15, 2024
- 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
- Kim Palma
- Title
- Account Manager
- Phone
- (813) 886-8334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 800018934 | FL | Primary |
Addresses
Primary practice location
5747 Hoover Blvd
Tampa, FL 33634-5340
Mailing address
5747 Hoover Blvd
Tampa, FL 33634-5340
Phone (813) 886-8334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030761100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040225000314 | FL | Part B Supplier - Independent Clinical Laboratory | 8325934532 | Practice locations: Tampa, FL |
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 |
|---|---|---|---|
| 10D1019905 | Reliance Pathology Partners LLC | Accreditation | Apr 11, 2027 |
| 10D2097512 | Reliance Pathology Partners LLC-Mobile | Compliance | Sep 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
5747 Hoover Blvd
Tampa, FL 33634
Phone (813) 884-2849
5747 Hoover Blvd
Ste 100
Tampa, FL 33634
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Tampa, FL
- NPI 1912970526
-
- Anatomic Pathology & Clinical Pathology Physician
- Tampa, FL
- NPI 1508830167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705276800000",
"number": "1548274897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5747 HOOVER BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345340",
"telephone_number": "813-886-8334",
"fax_number": "813-890-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5747 HOOVER BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345340",
"telephone_number": "813-886-8334",
"fax_number": "813-890-0143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANCE PATHOLOGY PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A",
"authorized_official_last_name": "PALMA",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "813-886-8334"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "800018934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030761100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
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- Theresa Relation, MD, PHD
- Reliance Healthcare Management Solutions, LLC (Reliance Health Network)
- Reliance Home Care, LLC (FirstLight Home Care)
- Reliant Home Health Care LLC
- Reliant Patient Transport LLC
- Relief All Pain Rehab Center Inc.
- Relief All Pain Rehab Center, Inc
- Relief Medical Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.