Palm Beach Pathology PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PALM BEACH PATHOLOGY PA

Practice address

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

Phone

(561) 659-0770

Fax

(770) 776-5966

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Thomas A Bolton, MDNPI 1871574665

Title

Medical Director

Phone

(561) 659-0770

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas A Bolton, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • West Palm Beach, FL
  • NPI 1871574665
  Authorized official Same address or phone

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1760689871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4117",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334024117",
            "telephone_number": "561-659-0770",
            "fax_number": "770-776-5966"
        },
        {
            "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": "770-776-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PATHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-659-0770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258264300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "L8267",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in West Palm Beach, FL
• Providers in West Palm Beach, 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 Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.