Organization Active NPI

App-PBP, LLC

  • Clinical Medical Laboratory
  • West Palm Beach, FL
National Provider Identifier
1710296181
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D0286650
Legal business name
APP-PBP, LLC
Practice address
2013 Ponce de Leon Ave
West Palm Beach, FL 33407-6019
Phone
(561) 659-0770
Fax
(561) 659-0413
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Athanassios Papaioanu
Title
President & Ceo
Phone
(615) 916-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D0286650 Primary

Addresses

Primary practice location

2013 Ponce de Leon Ave
West Palm Beach, FL 33407-6019

Mailing address

658 Grassmere Park Ste 102
Nashville, TN 37211-3683
Phone (615) 916-3200

Other practice location 1

1500 N Dixie Hwy Ste 308
West Palm Beach, FL 33401-2717
Phone (561) 653-8005

Other identifiers 3

IdentifierTypeStateIssuer
10D2168311OtherFLCLIA
10D286650OtherFLCLIA
P01007752OtherRAILROAD MEDICARE

Other names 1

  • Palm Beach Pathology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000472 FL Part B Supplier - Independent Clinical Laboratory 6507049954 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

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
10D2168311App-PBP LLC1500 N Dixie Hwy Ste 308, West Palm Beach, FL 33401ComplianceOct 29, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1710296181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 GRASSMERE PARK STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113683",
            "telephone_number": "615-916-3200",
            "fax_number": "615-916-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 PONCE DE LEON AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076019",
            "telephone_number": "561-659-0770",
            "fax_number": "561-659-0413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N Dixie Hwy Ste 308",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334012717",
            "country_code": "US",
            "telephone_number": "561-653-8005",
            "fax_number": "561-653-8051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APP-PBP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "PAPAIOANU",
        "authorized_official_first_name": "ATHANASSIOS",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "615-916-3200"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": "10D0286650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2168311",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D286650",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01007752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Pathology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Beach Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.