Physician's Pathology Services, PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D2030221 Issued in FL

Legal business name

PHYSICIAN'S PATHOLOGY SERVICES, PA

Practice address

451 Maitland Ave
Altamonte Springs, FL 32701-5418

Phone

(407) 702-8027

Fax

(813) 949-8427

NPI assigned

Jul 24, 2012

Last updated

Jul 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ross C Wheler, MD

Title

Owner/Operator

Phone

(407) 702-8027

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1558616870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 AVENUE DU SOLEIL",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335582835",
            "telephone_number": "407-702-8027",
            "fax_number": "813-949-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015418",
            "telephone_number": "407-702-8027",
            "fax_number": "813-949-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S PATHOLOGY SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "WHELER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "407-702-8027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2030221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynne Phelos
• Allison Nicole Phillips, MA
• Maryam Phillips, M.D.
• Russell Phillips, MA
• Physician Advisors LLC
• Physicians Alliance Corp
• Physicians Alliance Corp of Brevard
• Andrea Piazza, MA
• Tyler Kammeron Pickett
• Maria Piedra

• Clinical Medical Laboratory in Altamonte Springs, FL
• Providers in Altamonte Springs, 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 Jul 24, 2012; 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.