Active NPI
Florence Pathology Services LLC
- Anatomic Pathology & Clinical Pathology Physician
- Florence, AL
National Provider Identifier
1558337212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 00015292
- Legal business name
- FLORENCE PATHOLOGY SERVICES LLC
- Practice address
- 1701 Veterans Dr
Florence, AL 35630-4928 - Phone
- (256) 629-1825
- NPI assigned
- Feb 23, 2006
- Last updated
- Mar 12, 2019
- 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
- Steven Douglas White, MD
- Title
- Authorized Official
- Phone
- (256) 629-1825
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 00015292 | AL | Primary |
| Clinical Medical Laboratory | 291U00000X | NU |
Addresses
Primary practice location
1701 Veterans Dr
Florence, AL 35630-4928
Mailing address
PO Box 1179
Florence, AL 35631-1179
Phone (256) 629-1825
Other practice location 1
205 Marengo St
Florence, AL 35630-6033
Phone (256) 768-8340
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00878878 | Medicaid | MS | |
| 4490750 | Medicaid | TN | |
| 528601070 | Medicaid | AL | |
| 04832896 | Medicaid | MS | |
| 051557652 | Medicaid | AL | |
| 1369527 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060718000090 | AL | Part B Supplier - Independent Clinical Laboratory | 3476573858 | Practice locations: Florence, AL; Moulton, AL; Muscle Shoals, AL; Russellville, AL |
National Provider Directory
National Provider DirectoryLocations
103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228
Practitioners & affiliated clinicians
Practitioners 1
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
- Florence, AL
- NPI 1255386108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552348800000",
"number": "1558337212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1179",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356311179",
"telephone_number": "256-629-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 VETERANS DR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356304928",
"telephone_number": "256-629-1825"
}
],
"practiceLocations": [
{
"address_1": "205 Marengo St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AL",
"postal_code": "356306033",
"country_code": "US",
"telephone_number": "256-768-8340",
"fax_number": "256-768-9693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FLORENCE PATHOLOGY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-23",
"last_updated": "2019-03-12",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "256-629-1825",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AL",
"license": "00015292",
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00878878",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4490750",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528601070",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04832896",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051557652",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1369527",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
- Florence Nursing and Rehabilitation Center, LLC
- Florence Ophthalmology LLC
- Florence Ophthalmology LLC
- Florence Oral and Maxillofacial Surgery
- Florence Pathology Services LLC
- Florence Pharmacy, Inc.
- Florence SNF Opco LLC (Florence Rehabilitation and Wellness Center)
- Florence Surgery Center, L.P. (Florence Surgery Center)
- Florence Urological Assc
- Florence Xpress Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.