NPIMap

Organization Active NPI

Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Altamonte Springs, FL
National Provider Identifier
1699961086
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D0288349 Issued in FL
Legal business name
AMERIPATH FLORIDA LLC
Practice address
745 Orienta Ave
Suite 1201
Altamonte Springs, FL 32701-5676
Phone
(407) 260-0158
Fax
(407) 339-2906
NPI assigned
Sep 19, 2007
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERIPATH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Darren Thomas Wheeler, MD
Title
Vice President
Phone
(702) 379-3209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D0288349 FL Primary

Addresses

Primary practice location

745 Orienta Ave
Suite 1201
Altamonte Springs, FL 32701-5676

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614

Other identifiers 1

IdentifierTypeStateIssuer
10D0288349OtherFLCLIA

Other names 1

  • AmeriPath Central Florida Dermatopathology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722000893 FL Part B Supplier - Independent Clinical Laboratory 4284536640 Receives reassigned benefits from 1 practitioner
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Port Saint Lucie, FL; Winter Haven, FL; Tampa, FL; St Johns, FL; Pompano Beach, FL; Ocala, FL; Altamonte Springs, FL; Fort Myers, FL…

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0288349Ameripath Florida LLC745 Orienta Avenue Ste 1201, Altamonte Springs, FL 32701AccreditationJan 18, 2028
10D0920058Ameripath Florida LLC745 Orienta Ave Suite 1201, Altamonte Springs, FL 32701ComplianceNov 12, 2026
10D0969130Ameripath Florida LLC745 Orienta Ave Ste 1201, Altamonte Springs, FL 32701ComplianceMay 29, 2027
10D2186593Ameripath Florida LLC745 Orienta Ave Suite 1201, Altamonte Springs, FL 32701ComplianceDec 13, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ameripath Florida LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

745 Orienta Ave
Altamonte Springs, FL 32701
Phone (407) 339-2910

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1699961086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ORIENTA AVE",
            "address_2": "SUITE 1201",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015676",
            "telephone_number": "407-260-0158",
            "fax_number": "407-339-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPATH FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC",
        "enumeration_date": "2007-09-19",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "702-379-3209",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D0288349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D0288349",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AmeriPath Central Florida Dermatopathology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AmeriPath Central Florida Dermatopathology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.