Patriot Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATRIOT LABORATORY LLC

Practice address

2380 Sunset Point Rd
Clearwater, FL 33765-1430

Phone

(727) 466-1028

Fax

(727) 232-9779

NPI assigned

Jun 1, 2024

Organization subpart

No

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

Authorized official

Name

Vicki Regina

Title

Coo

Phone

(407) 446-6556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1619718087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 S HWY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117950",
            "telephone_number": "407-446-6556",
            "fax_number": "888-304-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 SUNSET POINT RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651430",
            "telephone_number": "727-466-1028",
            "fax_number": "727-232-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "REGINA",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "407-446-6556"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways to Health Inc
• Patient Physician Services LLC
• Patients First Home Care LLC
• Patricia Marin
• Patrick T Oconnell Psy D PA
• Carol L. Patterson, MD
• Katie Patterson
• Marissa Kyne Patterson
• Richard Carlyle Patton, RPH
• Diona Dominga Pauig-Breese, LMHC

• Clinical Medical Laboratory in Clearwater, FL
• Providers in Clearwater, 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 Nov 20, 2025; 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.

Verify at the official NPI Registry.