Quantum Hospital Pathology, LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

QUANTUM HOSPITAL PATHOLOGY, LLC

Practice address

151 E Redstone Ave
Crestview, FL 32539-5352

Phone

(850) 689-8100

Fax

(419) 866-5453

NPI assigned

Jul 25, 2012

Organization subpart

No

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

Authorized official

Name

North Davis, MDNPI 1245242700

Title

President

Phone

(850) 689-8100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• North Joseph Davis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pensacola, FL
  • NPI 1245242700
  Medicare reassignment Care Compare group NPD Authorized official
• Janis P McNeil, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Jackson, MS
  • NPI 1972582146

  FL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1679829816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3093",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334310993",
            "telephone_number": "954-656-6430",
            "fax_number": "850-689-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E REDSTONE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395352",
            "telephone_number": "850-689-8100",
            "fax_number": "419-866-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM HOSPITAL PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NORTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-689-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jane Purdy, O.D.
• Stacy Lee Quinnell, LPN
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• Allison Rae Rader
• Teraysa Ragule
• A. Holley Martin Raley, D.C.

• Anatomic Pathology & Clinical Pathology Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.