Pathology Medical Laboratories PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHOLOGY MEDICAL LABORATORIES PA

Practice address

913 E North Blvd Ste B
Leesburg, FL 34748-5364

Phone

(352) 787-6733

Fax

(352) 787-9228

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Susan Mary Rendon, M.D.

Title

President

Phone

(352) 787-6733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1558547273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 E NORTH BLVD STE B",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485364",
            "telephone_number": "352-787-6733",
            "fax_number": "352-787-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E NORTH BLVD STE B",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485364",
            "telephone_number": "352-787-6733",
            "fax_number": "352-787-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY MEDICAL LABORATORIES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-787-6733",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Yogesh Patel, DO
• Sunny Patel
• Paterson Eye Care Inc
• Margarita K Paterson, OD
• Pathology Medical Laboratories
• Pathology Services Alliance LLC
• Pathways Accountable Care, LLC
• Pathways Clinical Partners, LLC
• Patricia a. Carson
• Coy J Patterson Sr.

• Clinical Medical Laboratory in Leesburg, FL
• Providers in Leesburg, 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 Jan 11, 2008; 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.