MEDICARE: TRUPATH DIAGNOSTICS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1851257299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUPATH DIAGNOSTICS, PLLC

Provider Business Mailing Address
First Line	:	1625 SW 4TH AVE
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-7232
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 SW 4TH AVE
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-7232
Country	:	US
Telephone Number	:	352-232-4749
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MATTHEW N SOSA
Credential	:	MT, ABB
Telephone Number	:	352-232-4749

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	01/19/2026

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