Active NPI
Quality Pathology Group Inc
- Anatomic Pathology & Clinical Pathology Physician
- Fort Lauderdale, FL
National Provider Identifier
1972661817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- QUALITY PATHOLOGY GROUP INC
- Practice address
- 5361 NW 33 Avenue
Fort Lauderdale, FL 33309 - Phone
- (954) 717-0299
- NPI assigned
- Dec 4, 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
- Marcelino Alvarez, MD
- Title
- President
- Phone
- (954) 717-0299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
5361 NW 33 Avenue
Fort Lauderdale, FL 33309
Mailing address
PO Box 63069
N Charleston, SC 29406
Phone (305) 229-4311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99366 | Other | FL | BLUE CROSS BLUE SHIELD |
| 277571900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
5361 NW 33rd Ave
Ft Lauderdale, FL 33309
Phone (954) 717-0299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264723200000",
"number": "1972661817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63069",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "29406",
"telephone_number": "305-229-4311",
"fax_number": "305-229-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5361 NW 33 AVENUE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-717-0299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY PATHOLOGY GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2010-01-29",
"status": "A",
"authorized_official_last_name": "ALVAREZ",
"authorized_official_first_name": "MARCELINO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-717-0299",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "99366",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277571900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.