Active NPI
Marnic, LLC
- Clinical Medical Laboratory
- Tampa, FL
National Provider Identifier
1619240934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 800020286
- Legal business name
- MARNIC, LLC
- Doing business as
- United Pathology Lab
- Practice address
- 610 W MLK Blvd
Tampa, FL 33603-3450 - Phone
- (386) 423-5500
- Fax
- (386) 409-9762
- NPI assigned
- Feb 16, 2012
- 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
- Mark Nagrani, MD
- Title
- President
- Phone
- (386) 423-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 800020286 | FL | Primary |
Addresses
Primary practice location
610 W MLK Blvd
Tampa, FL 33603-3450
Mailing address
612 Palmetto St
New Smyrna Beach, FL 32168-7327
Phone (386) 423-5500
Other names 1
- United Pathology Lab
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329350400000",
"number": "1619240934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 PALMETTO ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321687327",
"telephone_number": "386-423-5500",
"fax_number": "386-409-9762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 W MLK BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336033450",
"telephone_number": "386-423-5500",
"fax_number": "386-409-9762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARNIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-16",
"last_updated": "2012-02-16",
"status": "A",
"authorized_official_last_name": "NAGRANI",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-423-5500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "800020286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "United Pathology Lab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.