QUANTUM HOSPITAL PATHOLOGY - NPI NUMBER 1679829816

Summary

Provider Name: QUANTUM HOSPITAL PATHOLOGY

NPI Number: 1679829816

Clasification: Pathology (207ZP0102X)

Specialization: Anatomic Pathology & Clinical Pathology

Address:
151 E REDSTONE AVE
CRESTVIEW, FL
ZIP 32539

Phone Number: (850) 689-8100



Detailed Information

QUANTUM HOSPITAL PATHOLOGY is an anatomic & clinical pathologist in Crestview, FL. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. The assigned NPI number for this provider is 1679829816 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

151 E REDSTONE AVE
CRESTVIEW, FL
ZIP 32539-352
Phone: (850) 689-8100
Fax: (419) 866-5453

The provider's authorized official is North Davis .
The authorized official title is President and has the following contact phone number (850) 689-8100.

The enumeration date for this NPI number is 7/25/2012 and was last updated on 7/25/2012.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1679837116 THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC
Pathology (Anatomic Pathology & Clinical Pathology)
1972931954 DR. JODY LYNN NIELSEN, MD
Pathology (Forensic Pathology)

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology Yes

NPI Record

No. Field Name Field Value
1 NPI 1679829816
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name QUANTUM HOSPITAL PATHOLOGY
5 Provider First Line Business Practice Location Address 151 E REDSTONE AVE
6 Provider Business Practice Location Address City Name CRESTVIEW
7 Provider Business Practice Location Address State Name FL
8 Provider Business Practice Location Address Postal Code 325395352
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 8506898100
11 Provider Business Practice Location Address Fax Number 4198665453
12 Provider Enumeration Date 7/25/2012
13 Last Update Date 7/25/2012
14 Authorized Official Last Name DAVIS
15 Authorized Official First Name NORTH
16 Authorized Official Title or Position PRESIDENT
17 Authorized Official Telephone Number 8506898100
18 Healthcare Provider Taxonomy Code 1 207ZP0102X
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Organization Subpart N
21 Authorized Official Credential Text MD
22 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 9/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.