<Unavail>
LBN: Path Medical, Llc
<Unavail> is an health care organization with primary practice located at 3117 W Columbus Dr Ste 209 , Tampa FL 33607-1855. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI). Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Path Medical, Llc can be contacted via phone (407) 367-5160, or through Bonnardel, Neil via phone (754) 218-2164.
Contact Information
Primary practice address
3117 W Columbus Dr Ste 209
Tampa FL 33607-1855
Phone: (407) 367-5160
Fax: (407) 730-9928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X |
Profile Details
| NPI number | 1801332697 |
|---|---|
| LBN Legal business name | Path Medical, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Bonnardel, Neil Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 17th, 2017 |
| Last updated | Nov 6th, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801332697 | NPPES |
| Florida | Other | HCC9731 | STATE LICENSE |
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