NPI Code Detail JSON Logo

1699961086 NPI number — AMERIPATH FLORIDA LLC

NPI Number: 1699961086
Health Care Provider/Practitioner: AMERIPATH FLORIDA LLC

Information about “1699961086” NPI (AMERIPATH FLORIDA LLC) exists in 1699961086 in HTML format HTML  |  1699961086 in plain Text format TXT  |  1699961086 in PDF (Portable Document Format) PDF  |  1699961086 in an XML format XML  formats.

NPI Number : 1699961086 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699961086",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "AMERIPATH INC",
    "ParentOrgTIN": null,
    "OrgName": "AMERIPATH FLORIDA LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14275 MIDWAY RD",
    "SecondLineMailingAddress": "SUITE 400",
    "MailingAddressCityName": "ADDISON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75001-3614",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": "610-271-4245",
    "FirstLinePracticeLocationAddress": "745 ORIENTA AVE",
    "SecondLinePracticeLocationAddress": "SUITE 1201",
    "PracticeLocationAddressCityName": "ALTAMONTE SPRINGS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32701-5676",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-260-0158",
    "PracticeLocationAddressFaxNumber": "407-339-2906",
    "EnumerationDate": "09/19/2007",
    "LastUpdateDate": "08/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WHEELER",
    "AuthorizedOfficialFirstName": "DARREN",
    "AuthorizedOfficialMiddleName": "THOMAS",
    "AuthorizedOfficialTitle": "VICE PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "702-379-3209",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "10D0288349",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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