Active NPI
Frazel Histo-Path Lab Inc
- Histology Specialist/Technologist
- Davie, FL
National Provider Identifier
1659410892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Histology Specialist/Technologist
- License
- 10D0285627
- Legal business name
- FRAZEL HISTO-PATH LAB INC
- Practice address
- 12500 S W 12 Street
Davie, FL 33325-4420 - Phone
- (954) 474-1349
- NPI assigned
- Feb 5, 2007
- 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
- Mrs. Maureen S Frazel, ART (CAN)
- Title
- President
- Phone
- (954) 474-1349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Histology Specialist/Technologist | 246QH0600X | 10D0285627 | FL | Primary |
Addresses
Primary practice location
12500 S W 12 Street
Davie, FL 33325-4420
Mailing address
12500 S W 12 Street
Davie, FL 33325-4420
Phone (954) 474-1349
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1659410892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 S W 12 STREET",
"city": "DAVIE",
"state": "FL",
"postal_code": "333254420",
"telephone_number": "954-474-1349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 S W 12 STREET",
"city": "DAVIE",
"state": "FL",
"postal_code": "333254420",
"telephone_number": "954-474-1349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRAZEL HISTO-PATH LAB INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "FRAZEL",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-474-1349",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ART (CAN)"
},
"taxonomies": [
{
"code": "246QH0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Pathology, Histology",
"state": "FL",
"license": "10D0285627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.