FLORENCE PATHOLOGY SERVICES LLC (NPI# 1558337212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558337212 |
| Entity Type | Organization |
| Organization Name | FLORENCE PATHOLOGY SERVICES LLC |
| Practice Address |
1701 Veterans Dr Florence AL 35630-4928 |
| Mailing Address |
Po Box 1179 Florence AL 35631-1179 |
| Practice Telephone | 2566291825 |
| Mailing Telephone | 2566291825 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | STEVEN DOUGLAS WHITE (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2566291825 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
00015292 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04832896 | 05 | |
| AL | 528601070 | 05 | |
| AL | 051557652 | 05 | |
| MS | 00878878 | 05 | |
| LA | 1369527 | 05 | |
| TN | 4490750 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 Marengo St, Florence, AL 356306033 | 2567688340 | 2567689693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467717900 | Florence Pathology Services LLC | Pathology | 1701 Veterans Dr, Florence, AL 35630-4928 | 2012-07-11 |
| Street Address |
1701 VETERANS DR |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413982 | Justin Kyle Barber | Nurse Anesthetist, Certified Registered | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-09-24 |
| 1114530821 | Sangeetha Poongunam Isaac | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-24 |
| 1245843960 | Mohammed Afraz Pasha | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-24 |
| 1255944914 | Sucheta Kundu | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-24 |
| 1063023679 | Demilade Adeayo Soji-ayoade | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-17 |
| 1710597380 | Sumit Goyat | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-07 |
| 1194335349 | Manjyot Bajwa | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-03 |
| 1134737729 | Allison Rogers | Nurse Practitioner | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-07-20 |
| 1437775400 | Eileen Ibeth Montalvan Fernandez | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-06-24 |
| 1891317764 | Kaylee Ann Hopper | Registered Nurse | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1538134655 | Carl Allan Barnes | Pathology | 603 W Alabama St, Florence, AL 35630-6006 | 2006-02-22 |
| 1285674713 | Joseph M Grossman | Pathology | 805 Pamplico Hwy, Pee Dee Pathology Suite B-210, Florence, SC 29505-6019 | 2006-06-06 |
| 1629033923 | Louis Dixon Wright Jr. | Pathology | 805 Pamplico Hwy, Suite B-210, Florence, SC 29505-6047 | 2006-04-19 |
| 1790745123 | Kenneth Lange Ries | Pathology | 555 E Cheves St, Florence, SC 29506-2617 | 2006-03-28 |
| 1265493613 | Stephen Rease Intemann | Pathology | 555 E Cheves St, Florence, SC 29506-2617 | 2006-03-28 |
| 1598725475 | William Victor Farnsworth | Pathology | 555 E Cheves St, Florence, SC 29506-2617 | 2006-03-24 |
| 1770543670 | Tarek M Bishara | Pathology | 555 E Cheves St, Florence, SC 29506-2617 | 2006-03-24 |
| 1700852548 | Tommy Eugene Yates | Pathology | 603 W Alabama St, Florence, AL 35630-6006 | 2006-02-23 |
| 1437125275 | Steven Douglas White | Pathology | 603 W Alabama St, Florence, AL 35630-6006 | 2006-02-23 |
| Find all providers in FLORENCE | ||||
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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.