HOLLYWOOD SPECIALTY PATHOLOGY LAB LLC (NPI# 1780990762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780990762 |
| Entity Type | Organization |
| Organization Name | HOLLYWOOD SPECIALTY PATHOLOGY LAB LLC |
| Practice Address |
3850 Hollywood Blvd Suite 201 Hollywood FL 33021-6748 |
| Practice Telephone | 9549611200 |
| Practice Fax Number | 9549630378 |
| Mailing Telephone | 9549611200 |
| Mailing Fax Number | 9549630378 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2011-10-03 |
| Authorized Official Name | DR. EDUARDO WEISS (LABORATORY DIRECTOR) |
| Authorized Official Telephone | 9549611200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 800025576 | FL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CLIA | 10D1098579 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023247533 | Hollywood Specialty Pathology Lab LLC | Clinical Medical Laboratory | 3850 Hollywood Blvd, Suite 301, Hollywood, FL 33021-6748 | 2009-07-06 |
| Street Address |
3850 HOLLYWOOD BLVD SUITE 201 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-6748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308965 | Eduardo T Weiss | Dermatology | 3850 Hollywood Blvd, Suite 301, Hollywood, FL 33021-6748 | 2005-10-05 |
| 1699231803 | Murielle Danny Joseph | Nurse Practitioner | 3850 Hollywood Blvd, Hollywood, FL 33021-6748 | 2019-02-12 |
| 1487132668 | Desitha Mertilus | Nurse Practitioner | 3850 Hollywood Blvd, Hollywood, FL 33021-6748 | 2018-07-31 |
| 1821591074 | Andrea Laurel Kay | Nurse Practitioner | 3850 Hollywood Blvd, Hollywood, FL 33021-6748 | 2018-03-14 |
| 1790229912 | Sholomo J Lanes Md Pa | Surgery | 3850 Hollywood Blvd, Suite 201, Hollywood, FL 33021-6748 | 2016-12-07 |
| 1386084093 | Adel Eltantawy | Pharmacist | 3850 Hollywood Blvd, Hollywood, FL 33021-6748 | 2013-06-26 |
| 1003168451 | Jay S. Chandar, Md, Pa | Pediatrics | 3850 Hollywood Blvd, Suite 202, Hollywood, FL 33021-6700 | 2012-10-10 |
| 1447508502 | Cancer Cure Pa | Internal Medicine | 3850 Hollywood Blvd, Suite 1b, Hollywood, FL 33021-6748 | 2012-08-21 |
| 1578881785 | Urology Associates, Pa | Specialist | 3850 Hollywood Blvd, Suite 203, Hollywood, FL 33021-6748 | 2010-05-12 |
| 1730416637 | Ney R F Alves Md P A | Internal Medicine | 3850 Hollywood Blvd, Suite 1b, Hollywood, FL 33021-6748 | 2009-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| 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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| 1174983266 | Gidwani Pathology | Clinical Medical Laboratory | 3950 Hollywood Blvd, Suite 201-c, Hollywood, FL 33021 | 2016-03-02 |
| 1164607479 | Precise Laboratories Inc | Clinical Medical Laboratory | 2324 Hollywood Blvd Ste 5, Hollywood, FL 33020-6703 | 2008-01-04 |
| 1932182284 | Laboratory Corporation of America | Clinical Medical Laboratory | 4200 N 29th Ave, Hollywood, FL 33020-1016 | 2005-11-21 |
| 1427595354 | E-lab of Florida Inc. | Clinical Medical Laboratory | 6100 Hollywood Blvd, Suite 306, Hollywood, FL 33024-7982 | 2017-01-30 |
| 1922557446 | Recovery In The Light | Clinical Medical Laboratory | 5001 Hollywood Blvd, Hollywood, FL 33021-6515 | 2016-09-26 |
| 1578987756 | Saban Community Clinic | Clinical Medical Laboratory | 6043 Hollywood Blvd, Hollywood, CA 90028-5411 | 2014-02-10 |
| 1942641923 | Primary Diagnostics Laboratory Pllc | Clinical Medical Laboratory | 115 S 17th Ave, Hollywood, FL 33020-6801 | 2013-07-08 |
| 1336418698 | American Metabolic Testing Laboratories | Clinical Medical Laboratory | 1818 Sheridan St, #102, Hollywood, FL 33020-2113 | 2011-12-15 |
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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.