Indian River Pathology Llc

LBN: Indian River Pathology Llc
Indian River Pathology Llc is an health care organization with primary practice located at 6696 S Us Highway 1 , Port St Lucie FL 34952-1423. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Indian River Pathology Llc can be contacted via phone (772) 466-6651, or through Desai, Anil via phone (772) 466-6651.

Contact Information

Primary practice address
6696 S Us Highway 1 Port St Lucie FL 34952-1423
Phone: (772) 466-6651
Fax: (772) 466-0662
Website:
Map and Directions
Authorized official contact:
Name: Desai, Anil Doctor of Medicine (MD)
Phone: (772) 466-6651

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X ME46694 Florida

Profile Details

NPI number 1477513323
LBN Legal business name Indian River Pathology Llc
DBA Doing business as
Authorized official Desai, Anil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2006
Last updated May 28th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477513323 NPPES
Florida MEDICAID 252482100
Florida Other 41580

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