MID-FLORIDA PATHOLOGY (NPI# 1679949333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679949333 |
| Entity Type | Organization |
| Organization Name | MID-FLORIDA PATHOLOGY |
| Practice Address |
120 E North Blvd Ste 102 Leesburg FL 34748-5241 |
| Practice Telephone | 3524600292 |
| Mailing Telephone | 3524600292 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | GILMAR TADIOTO (CFO) |
| Authorized Official Telephone | 3524600292 |
| 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 | 006243500 | 05 |
| Street Address |
120 E NORTH BLVD STE 102 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-5241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174050892 | Matthew Kenney | Clinical Medical Laboratory | 20720 Prince Ranier Pl, Leesburg, FL 34748-7762 | 2017-05-11 |
| 1558547273 | Pathology Medical Laboratories Pa | Clinical Medical Laboratory | 913 E North Blvd Ste B, Leesburg, FL 34748-5364 | 2008-01-11 |
| 1679504351 | Diagnostic Pathology Associates Pa | Clinical Medical Laboratory | 1456 Williams St, Leesburg, FL 34748-3824 | 2006-07-05 |
| 1003896853 | Pathology Medical Laboratories | Clinical Medical Laboratory | 913 B North Blvd E, Leesburg, FL 34748-5364 | 2006-01-18 |
| 1043676182 | Loudoun Medical Group PC | Clinical Medical Laboratory | 19450 Deerfield Ave, Suite 375, Leesburg, VA 20176-6820 | 2016-01-05 |
| 1700274008 | On Point Pathology LLC | Clinical Medical Laboratory | 19455 Deerfield Ave, Suite #202, Leesburg, VA 20176 | 2015-01-08 |
| 1508100710 | 1st Class Sleep Diagnostics, Inc | Clinical Medical Laboratory | 19420 Golf Vista Plz, Suite 110, Leesburg, VA 20176-8265 | 2012-11-15 |
| 1417291626 | 1st Class Sleep Diagnostics, Inc | Clinical Medical Laboratory | 19420 Golf Vista Plz, Suite 350, Leesburg, VA 20176-8265 | 2012-11-15 |
| 1598993289 | Alliance Labs LLC | Clinical Medical Laboratory | 1456 William St, Leesburg, FL 34748-3824 | 2009-07-01 |
| 1518145259 | Premiere Medical Laboratories P A | Clinical Medical Laboratory | 913 E North Blvd, Leesburg, FL 34748-5364 | 2008-02-05 |
| Find all providers in LEESBURG | ||||
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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.