THE LABORATORY GROUP OF NORTHWEST FLORIDA, PLLC (NPI# 1366674004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366674004 |
| Entity Type | Organization |
| Organization Name | THE LABORATORY GROUP OF NORTHWEST FLORIDA, PLLC |
| Practice Address |
4724 N Davis Hwy 2nd Floor Pensacola FL 32503-2339 |
| Practice Telephone | 8504381154 |
| Practice Fax Number | 8504336034 |
| Mailing Telephone | 8504381154 |
| Mailing Fax Number | 8504336034 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2010-08-11 |
| Authorized Official Name | NORTH JOSEPH DAVIS (LABORATORY DIRECTOR) |
| Authorized Official Telephone | 8504381154 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001697200 | 05 |
| Street Address |
4724 N DAVIS HWY 2ND FLOOR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801881222 | Elmer P Brestan | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2005-09-12 |
| 1548869142 | Sherry Leroy | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2020-10-23 |
| 1013522325 | Florida Gulf Coast Anesthesia, LLC | Anesthesiology | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2020-09-14 |
| 1639709835 | Kaitlin Graye | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2020-01-16 |
| 1710443486 | Kaitlyn Weaver | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2019-02-18 |
| 1750877791 | Karen Lynn Atkins | Dietitian, Registered | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2018-07-02 |
| 1497260400 | Debbie Ann Sprague | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503 | 2017-12-13 |
| 1245761634 | Charles Blay | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2017-03-27 |
| 1538532692 | Kaley Morris | Physician Assistant | 4724 N Davis Hwy, Pensacola, FL 32503 | 2015-11-10 |
| 1790167930 | Jeana Varner | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2015-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1972898435 | Ameripath Florida LLC | Clinical Medical Laboratory | 4900 Bayou Blvd., Suite 200, Pensacola, FL 32503-2543 | 2011-06-13 |
| 1356371165 | Center for Sleep & Medical Diagnostics Inc | Clinical Medical Laboratory | 6706 N. 9th Avenue, Pensacola, FL 32504-7398 | 2006-07-04 |
| 1578010161 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 8333 N Davis Hwy, First Floor, Pensacola, FL 32514-6050 | 2016-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.