Organization
APP-PBP, LLC
Active
Other names
Palm Beach Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
ATHANASSIOS PAPAIOANU (PRESIDENT & CEO)
(615) 916-3200
Entity
Organization
Contact information
Practice address
2013 PONCE DE LEON AVE, WEST PALM BEACH, FL 33407-6019
(561) 659-0770
(561) 659-0413
Mailing address
658 GRASSMERE PARK STE 102, NASHVILLE, TN 37211-3683
(615) 916-3200
(615) 916-3218
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D0286650
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2168311
CLIA
FL
01
—
10D286650
CLIA
FL
01
—
P01007752
RAILROAD MEDICARE
—
Enumeration date
10/01/2010
Last updated
07/16/2024
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