QUANTUM HOSPITAL PATHOLOGY, LLC - NPI NUMBER 1679829816
Provider Name: QUANTUM HOSPITAL PATHOLOGY, LLC
NPI Number: 1679829816
Clasification: Pathology (207ZP0102X)
Specialization: Anatomic Pathology & Clinical Pathology
151 E REDSTONE AVE
Phone Number: (850) 689-8100
QUANTUM HOSPITAL PATHOLOGY, LLC 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
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 9/24/2014.
The following information regarding the scope of practice of this provider is available:
||Anatomic Pathology & Clinical Pathology
||The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
||Entity Type Code
||Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
||Employer Identification Number EIN
||The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
||Provider Organization Name Legal Business Name
||QUANTUM HOSPITAL PATHOLOGY, LLC
||The name of the organization provider. If the provider is an organization, this is the legal business name.
||Provider First Line Business Practice Location Address
||151 E REDSTONE AVE
||The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
||Provider Business Practice Location Address City Name
||The city name in the location address of the provider being identified.
||Provider Business Practice Location Address State Name
||The State code in the location of the provider
||Provider Business Practice Location Address Postal Code
||The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
||Provider Business Practice Location Address Country Code If outside U S
||The country code in the location address of the provider being identified.
||Provider Business Practice Location Address Telephone Number
||The telephone number associated with the location address of the provider being identified.
||Provider Business Practice Location Address Fax Number
||The fax number associated with the location
address of the provider being identified.
||Provider Enumeration Date
||The date the provider was assigned a unique identifier (assigned an NPI).
||Last Update Date
||The date that a record was last updated or changed.
||Authorized Official Last Name
||The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
||Authorized Official First Name
||The first name of the authorized official.
||Authorized Official Title or Position
||The title or position of the authorized official.
||Authorized Official Telephone Number
||The 10-position telephone number of the authorized official.
||Healthcare Provider Taxonomy Code 1
||Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
||Healthcare Provider Primary Taxonomy Switch 1
||Is Organization Subpart
||Authorized Official Credential Text
||Healthcare Provider Taxonomy Group 1
||193400000X SINGLE SPECIALTY GROUP
Similar Providers Nearby
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||DR. JODY LYNN NIELSEN, MD
||Pathology (Forensic Pathology)
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This page was last updated on: 4/19/2015
(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule
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