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Contact Information

FIRST COAST PATHOLOGY ASSOCIATES, LLC
9421 WAYPOINT PLACE
JACKSONVILLE, FL32257
 Phone: 904-302-3553
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for FIRST COAST PATHOLOGY ASSOCIATES, LLC

NPI # 1700255841
LBN Legal business name FIRST COAST PATHOLOGY ASSOCIATES, LLC
Authorized official VIRENDRA DESAI - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2015
Last updated 09/18/2015 - About 11 years ago
Identifiers
FL License # ME 93419
FL Medicaid 2764806 00
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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