Ameripath Florida LLC
Organization Active NPI Clinical Medical Laboratory · Pensacola, FL
NPI 1972898435 · NPPES record last updated Nov 9, 2015
Key facts
- NPI
- 1972898435
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- AMERIPATH FLORIDA LLC
- Practice address
- 4900 Bayou Blvd.
Suite 200
Pensacola, FL 32503-2543 - Phone
- (850) 478-6626
- Fax
- (850) 478-7016
- NPI assigned
- Jun 13, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERIPATH INC
Authorized official
- Name
- Dr. Edward M Kramer, M.D.
- Title
- Vice President
- Phone
- (610) 550-3000
Other NPIs on the same Medicare enrollment 21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040722000893 | FL | Part B Supplier - Independent Clinical Laboratory | 4284536640 |
Receives reassigned benefits from 1 practitioner 22 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Port Saint Lucie, FL; Winter Haven, FL; Tampa, FL; St Johns, FL; Pompano Beach, FL; Ocala, FL; Altamonte Springs, FL; Fort Myers, FL… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
4900 Bayou Blvd.
Suite 200
Pensacola, FL 32503-2543
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004078400 | Medicaid | FL |
Other providers in Pensacola, FL
- America'S Voices, LLC
- American Current Care P.a.
- American Eldercare, Inc.
- American Homepatient, Inc.
- American Pharmacy Solutions LLC
- Caroline Amerson
- Lee Ames
- Morgan Elizabeth Ames
- Denise Marie Amick
- Wanda K Amick
All providers in Pensacola, FL · Clinical Medical Laboratory in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.