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ST VINCENTS PATHOLOGY ASSOCIATES PA NPI 1114074200


NPI Information

NPI: 1114074200
Provider Name: ST VINCENTS PATHOLOGY ASSOCIATES PA
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 10D2196547

Address:
1 SHIRCLIFF WAY
DEPT OF PATHOLOGY
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 308-7300
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ST VINCENTS PATHOLOGY ASSOCIATES PA is an anatomic pathology and clinical pathology pathology in Jacksonville, 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. ST VINCENTS PATHOLOGY ASSOCIATES PA NPI is 1114074200. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 SHIRCLIFF WAY
DEPT OF PATHOLOGY
JACKSONVILLE, FL
ZIP 32204-748
Phone: (904) 308-7300
Fax: (904) 308-2970

The provider's authorized official is Don Bernard Destephano .
The authorized official title is President and has the following contact phone number (904) 308-7300.

The CLIA number assigned to this NPI record is 10D2196547 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 1/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZB0001XPathologyBlood Banking & Transfusion MedicineNo
2207ZC0500XPathologyCytopathologyNo
3207ZD0900XPathologyDermatopathologyNo
4207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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