Organization Active NPI

Pathology Associates of North Florida, P.a.

  • Clinical Medical Laboratory
  • Gainesville, FL
National Provider Identifier
1770511834
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PATHOLOGY ASSOCIATES OF NORTH FLORIDA, P.A.
Practice address
6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone
(352) 333-4955
Fax
(352) 333-4284
NPI assigned
Jun 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Wilkins Goldblatt, M.D.NPI 1528095965
Title
President/Partner
Phone
(352) 333-4955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6500 W Newberry Rd
Gainesville, FL 32605-4309

Mailing address

PO Box 147050
PMB 509
Gainesville, FL 32614-7050
Phone (352) 375-0166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110526000705 FL Part B Supplier - Clinic/Group Practice 1850578972 Receives reassigned benefits from 2 practitioners
Practice locations: Gainesville, 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
10D0271864HCA Florida North Florida Hospital6500 W Newberry Rd, Gainesville, FL 32605AccreditationFeb 27, 2027
10D0271971North Florida Reg Med Center Nursing6500 Newberry Road & 69TH Terrace, Gainesville, FL 32605Certificate of waiverAug 31, 2026
10D2324916North Florida Regional Medical Center Inc6500 W Newberry Road, Gainesville, FL 32605Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory

Locations

5755 Hoover Blvd
Tampa, FL 33634

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770511834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147050",
            "address_2": "PMB 509",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326147050",
            "telephone_number": "352-375-0166",
            "fax_number": "352-375-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054309",
            "telephone_number": "352-333-4955",
            "fax_number": "352-333-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY ASSOCIATES OF NORTH FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBLATT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "WILKINS",
        "authorized_official_title_or_position": "PRESIDENT/PARTNER",
        "authorized_official_telephone_number": "352-333-4955",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.