Pathology Professional Consultants, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHOLOGY PROFESSIONAL CONSULTANTS, LLC

Practice address

2113 Ruby Red Blvd
Suite a-2
Clermont, FL 34714-6115

Phone

(352) 388-4056

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Rhea Birusingh

Title

Medical Director

Phone

(352) 388-4056

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1992172787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 RUBY RED BLVD",
            "address_2": "SUITE A-2",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 RUBY RED BLVD",
            "address_2": "SUITE A-2",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146115",
            "telephone_number": "352-388-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY PROFESSIONAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "BIRUSINGH",
        "authorized_official_first_name": "RHEA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-388-4056"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Clermont, FL
• Providers in Clermont, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.