Ameripath Florida LLC
Organization Active NPI Clinical Medical Laboratory · Estero, FL
NPI 1740051911 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1740051911
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- AMERIPATH FLORIDA LLC
- Practice address
- 23450 Via Coconut PT
Estero, FL 34135-1877 - Phone
- (888) 558-1164
- NPI assigned
- Jan 15, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERIPATH INC
Authorized official
- Name
- Darren Thomas Wheeler, MD
- Title
- Vice President
- Phone
- (702) 733-7866
Other NPIs on the same Medicare enrollment 21
Corporate family (same tax ID) 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
- Tax ID family
- Ameripath Florida LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
23450 Via Coconut PT
Estero, FL 34135-1877
Mailing address
14275 Midway Rd Ste 400
Addison, TX 75001-3661
Phone (866) 697-8378
Other providers in Estero, FL
- Alicia Allen
- Alliance Healthcare & Wellness,LLC
- Walter Alvarez
- Mohamed Amer
- American Spine and Health Institute Corporation
- Ashley Amilcar
- Breanne Anderson
- Nancy Speakman Apple
- Michael S Applebaum
- Yanet De la Caridad Armas Hernandez
All providers in Estero, FL · Clinical Medical Laboratory in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.