Organization Active NPI

Palms Pathology PA

  • Clinical Medical Laboratory
  • Tampa, FL
National Provider Identifier
1962546515
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
8000021745 Issued in FL
Legal business name
PALMS PATHOLOGY PA
Practice address
1209 Tech Blvd
Suite # 106
Tampa, FL 33619-7870
Phone
(813) 649-8026
Fax
(813) 246-5555
NPI assigned
Feb 16, 2007
Last updated
Apr 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Faruk Aydin, M.D.NPI 1881655280
Title
Medical Director
Phone
(813) 649-8026

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)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 8000021745 FL Primary

Addresses

Primary practice location

1209 Tech Blvd
Suite # 106
Tampa, FL 33619-7870

Mailing address

1209 Tech Blvd
Suite # 106
Tampa, FL 33619-7870
Phone (813) 649-8026

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
10D1056619Palms Pathology PA1209 Tech Blvd Ste 106, Tampa, FL 33619AccreditationMar 8, 2028

National Provider Directory

National Provider Directory

Locations

1209 Tech Blvd
Ste 106
Tampa, FL 33619
Phone (813) 649-8026

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1962546515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 TECH BLVD",
            "address_2": "SUITE # 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197870",
            "telephone_number": "813-649-8026",
            "fax_number": "813-246-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 TECH BLVD",
            "address_2": "SUITE # 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197870",
            "telephone_number": "813-649-8026",
            "fax_number": "813-246-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS PATHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "AYDIN",
        "authorized_official_first_name": "FARUK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-649-8026",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "8000021745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.