Active NPI
Micro Path Laboratories Inc
- Clinical Medical Laboratory
- Lakeland, FL
National Provider Identifier
1932159118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 800000683
- Legal business name
- MICRO PATH LABORATORIES INC
- Practice address
- 1125 Bartow Rd
Suite 101
Lakeland, FL 33801-5852 - Phone
- (863) 683-7171
- Fax
- (863) 687-0742
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig D Lariscy, M.D.
- Title
- President
- Phone
- (863) 683-7171
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 800000683 | FL | Primary |
Addresses
Primary practice location
1125 Bartow Rd
Suite 101
Lakeland, FL 33801-5852
Mailing address
1125 Bartow Rd
Suite 101
Lakeland, FL 33801-5852
Phone (863) 683-7171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030551100 | Medicaid | FL | |
| L8179 | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080604000238 | FL | Part B Supplier - Independent Clinical Laboratory | 2860562741 | Practice locations: Lakeland, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0292682 | Micro Path Laboratories Inc | Accreditation | Jan 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
1125 US Highway 98
Ste 101
Lakeland, FL 33801
Phone (863) 683-7171
1125 Bartow Rd
Lakeland, FL 33801
Phone (863) 683-7171
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lakeland, FL
- NPI 1225005226
-
- Anatomic Pathology & Clinical Pathology Physician
- Lakeland, FL
- NPI 1760459770
-
- Anatomic Pathology & Clinical Pathology Physician
- Lakeland, FL
- NPI 1346218120
-
- Anatomic Pathology Physician
- Lakeland, FL
- NPI 1720055791
-
- Anatomic Pathology & Clinical Pathology Physician
- Lakeland, FL
- NPI 1457329047
-
- Anatomic Pathology & Clinical Pathology Physician
- Lakeland, FL
- NPI 1982024667
-
- Anatomic Pathology & Clinical Pathology Physician
- Lakeland, FL
- NPI 1831131994
-
- Anatomic Pathology & Clinical Pathology Physician
- Lakeland, FL
- NPI 1033308028
-
- Anatomic Pathology & Clinical Pathology Physician
- Lakeland, FL
- NPI 1790753465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454371200000",
"number": "1932159118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 BARTOW RD",
"address_2": "SUITE 101",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338015852",
"telephone_number": "863-683-7171",
"fax_number": "863-687-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 BARTOW RD",
"address_2": "SUITE 101",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338015852",
"telephone_number": "863-683-7171",
"fax_number": "863-687-0742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICRO PATH LABORATORIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2016-02-02",
"status": "A",
"authorized_official_last_name": "LARISCY",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-683-7171",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "800000683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030551100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "L8179",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.