Space Coast Pathologists Pa

LBN: Space Coast Pathologists Pa
Space Coast Pathologists Pa is an health care organization with primary practice located at 1350 S Hickory St Dept. Of Pathology, Melbourne FL 32901-3278. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Space Coast Pathologists Pa can be contacted via phone (321) 434-7000, or through Smedberg, Carl T. via phone (321) 953-4804.

Contact Information

Primary practice address
1350 S Hickory St Dept. Of Pathology Melbourne FL 32901-3278
Phone: (321) 434-7000
Fax: (321) 434-5295
Website:
Map and Directions
Authorized official contact:
Name: Smedberg, Carl T. Doctor of Medicine (MD)
Phone: (321) 953-4804

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1184606188
LBN Legal business name Space Coast Pathologists Pa
DBA Doing business as
Authorized official Smedberg, Carl T. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2005
Last updated Feb 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184606188 NPPES
Florida MEDICAID 054991600

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