ATLANTIC PATHOLOGY GROUP, PA (NPI# 1972694073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972694073 |
| Entity Type | Organization |
| Organization Name | ATLANTIC PATHOLOGY GROUP, PA |
| Practice Address |
1335 Valentine St Melbourne FL 32901-3127 |
| Practice Telephone | 3219562986 |
| Practice Fax Number | 3219569430 |
| Mailing Telephone | 3219562986 |
| Mailing Fax Number | 3219569430 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSE A REILOVA (M.D./MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3219562986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 291U00000X | FL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BEECHSTREET | 21149357704 01 | 01 |
| FL | HARVARD PILGRAM | 34921 | 01 |
| FL | BC/BS OF PA | 1305501 | 01 |
| FL | OXFORD HEALTH PLAN | P2498579 | 01 |
| FL | TRIGON BC/BS | 618277 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356301725 | Atlantic Pathology Group, Pa | Pathology | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2006-03-28 |
| Street Address |
1335 VALENTINE ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306937354 | Jose A Reilova | Pathology | 1335 Valentine St, Melbourne, FL 32901-3127 | 2006-09-27 |
| 1356432330 | George E Rippis | Pathology | 1335 Valentine St, Melbourne, FL 32901-3127 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
| 1255451712 | Felipe Emilio Dominguez | Clinical Medical Laboratory | 3030 Venture Ln, Ste. 108, Melbourne, FL 32934-8172 | 2007-03-29 |
| 1043386196 | Medical Associates of Brevard Lab LLC | Clinical Medical Laboratory | 2290 West Eau Gallie Blvd, Suite 108 Medical Associates of Brevard Lab LLC, Melbourne, FL 32935 | 2006-11-28 |
| 1417062076 | Florida Clinical Laboratory, Inc | Clinical Medical Laboratory | 27 E Hibiscus Blvd Ste C, Melbourne, FL 32901-3171 | 2006-08-21 |
| 1386615730 | Florida Clinical Lab,inc | Clinical Medical Laboratory | 27 E Hibiscus Blvd, Melbourne, FL 32901-3171 | 2006-02-01 |
| 1831698851 | Economy Laboratory LLC | Clinical Medical Laboratory | 466 N Harbor City Blvd, Melbourne, FL 32935 | 2018-02-05 |
| 1013353200 | Melbourne Medical Laboratory LLC | Clinical Medical Laboratory | 95 Bulldog Blvd, Suite 103, Melbourne, FL 32901-3332 | 2013-05-15 |
| 1023362654 | Qm Labs, Inc. | Clinical Medical Laboratory | 115 Hickory St, Suite 104, Melbourne, FL 32904-3505 | 2012-11-05 |
| 1700183506 | Space Coast Pathologists Pa | Clinical Medical Laboratory | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-02-15 |
| 1255593877 | Alpha Medical Pa | Clinical Medical Laboratory | 20 E Melbourne Ave, #104, Melbourne, FL 32901-5970 | 2008-06-25 |
| Find all providers in MELBOURNE | ||||
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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.