Path Lab Fort Myers
LBN: Phoenix Medical Laboratory
Path Lab Fort Myers is an health care organization with primary practice located at 12701 Commonwealth Dr Suite 6, Fort Myers FL 33913-8626. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
Phoenix Medical Laboratory can be contacted via phone (239) 768-0600, or through Gasparini, Robert P via phone (239) 768-0600.
Contact Information
Primary practice address
12701 Commonwealth Dr Suite 6
Fort Myers FL 33913-8626
Phone: (239) 768-0600
Fax: (239) 768-0711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | CLIA10D1023653 | Florida |
| Laboratories / Clinical Medical Laboratory | 291U00000X | 8000017185 | Florida |
| Laboratories / Clinical Medical Laboratory | 291U00000X | 8000019289 | Florida |
Profile Details
| NPI number | 1841280815 |
|---|---|
| LBN Legal business name | Phoenix Medical Laboratory |
| DBA Doing business as | Path Lab Fort Myers |
| Authorized official | Gasparini, Robert P |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | May 29th, 2008 - about 18 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 | 1841280815 | NPPES |
| Florida | Other | L9266 | BCBS FL |
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