US Path Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800019305 Issued in FL

Legal business name

US PATH LABS LLC

Practice address

902 Clint Moore Rd
Suite 222
Boca Raton, FL 33487-2800

Phone

(561) 989-0027

Fax

(561) 989-0052

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Queen

Title

MGR

Phone

(561) 989-0027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Lea Bellomo, MD

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1154749521
  NPD (past)
• Carole Stone Mazzone, ARNP

  • Adult Health Nurse Practitioner
  • Tampa, FL
  • NPI 1770551202
  NPD (past)
• Carlos A Ricotti, MD

  • Dermatopathology Physician
  • Miami, FL
  • NPI 1497956569
  NPD (past)
• Suhaa Shafi, PA

  • Medical Physician Assistant
  • Boca Raton, FL
  • NPI 1205550068
  NPD (past)
• Jennifer T Haley, MD

  • Dermatology Physician
  • Montrose, CO
  • NPI 1275529224
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1720103013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CLINT MOORE RD",
            "address_2": "SUITE 222",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872800",
            "telephone_number": "561-989-0027",
            "fax_number": "561-989-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CLINT MOORE RD",
            "address_2": "SUITE 222",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872800",
            "telephone_number": "561-989-0027",
            "fax_number": "561-989-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US PATH LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-989-0027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800019305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Miguel Urena Mercado, FNP-C
• Urology Associates of South Florida PLC
• Urology Consultants of Boca Raton PA
• US Med Savers Inc
• US Medical Care Inc
• US Spine Clinics Inc.
• USA Diagnostics, Inc.
• USA Express Supply Inc
• USA Sports Medicine Boca LLC
• Usai Med LLC

• Clinical Medical Laboratory in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.