Organization
AMERIPATH FLORIDA LLC
Active
Parent organization
AMERIPATH INC
Other names
Kissimmee Pathology Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC
Authorized official
KRISTIE M DOLAN (VICE PRESIDENT)
(866) 697-8378
Entity
Organization
Contact information
Practice address
1200 N. CENTRAL AVENUE, SUITE 103, KISSIMMEE, FL 34741-4439
(407) 932-2159
(407) 933-2287
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0994900
CLIA
FL
Enumeration date
04/28/2009
Last updated
05/15/2022
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