Organization Active NPI

Frazel Histo-Path Lab Inc

  • Histology Specialist/Technologist
  • Davie, FL
National Provider Identifier
1659410892
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Histology Specialist/TechnologistTaxonomy code 246QH0600X
License
10D0285627 Issued in FL
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

Updated by the provider on Sep 9, 2008

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)CodeLicenseStatePrimary
Histology Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.