GULF COAST DERMATOPATHOLOGY LABORATORY, INC. (NPI# 1982693818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982693818 |
| Entity Type | Organization |
| Organization Name | GULF COAST DERMATOPATHOLOGY LABORATORY, INC. |
| Practice Address |
6001 Memorial Hwy Tampa FL 33615-4531 |
| Practice Telephone | 8138824206 |
| Practice Fax Number | 8138860589 |
| Mailing Telephone | 8138824206 |
| Mailing Fax Number | 8138860589 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2010-12-17 |
| Authorized Official Name | JOHN LOUIS MILLNS JR. (DIRECTOR) |
| Authorized Official Telephone | 8138824206 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 800001270 | FL | Laboratories |
| Street Address |
6001 MEMORIAL HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902895832 | John Louis Millns Jr. | Dermatology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2005-10-13 |
| 1386987840 | David Poshi Wang | Pathology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2013-04-03 |
| 1124334479 | Laura Elaine Millns | Dermatology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2010-08-25 |
| 1649284563 | John L Millns Md Pa | Dermatology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2006-07-28 |
| 1972557890 | Charles Vincent Perniciaro | Dermatology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| 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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| 1992346571 | American Lab LLC | Clinical Medical Laboratory | 1419 W Waters Ave Ste 119, Tampa, FL 33604-2896 | 2019-10-04 |
| 1851863138 | Protean Biodiagnostics Inc | Clinical Medical Laboratory | 3802 Spectrum Blvd Ste 122, Tampa, FL 33612-9220 | 2018-12-26 |
| 1770081507 | Eccolab Group Co | Clinical Medical Laboratory | 2801 W Waters Ave Ste 1b, Tampa, FL 33614-1866 | 2018-01-26 |
| 1861939183 | Cbs Labs of Tampa LLC | Clinical Medical Laboratory | 1916 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2017-01-24 |
| 1750835278 | G. Cross Medical Labs, LLC | Clinical Medical Laboratory | 2901 N Dale Mabry Hwy, #612, Tampa, FL 33607-2412 | 2016-08-12 |
| 1477906022 | Atlas Diagnostic Holdings, LLC | Clinical Medical Laboratory | 4023 N Armenia Ave Ste 101, Tampa, FL 33607-1013 | 2016-07-19 |
| 1053793026 | University Medical Service Association Inc | Clinical Medical Laboratory | 4107 Usf Cedar Cir, Ste 171, Tampa, FL 33620-0001 | 2015-06-25 |
| 1528469731 | D2 Health Management LLC | Clinical Medical Laboratory | 2005 Pan Am Cir, Tampa, FL 33607-2359 | 2014-09-07 |
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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.