NPI Details
I PATHOLOGY LLC is a clinical medical laboratory in Lakeland, FL. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. I PATHOLOGY LLC NPI is 1184896425. The provider is registered as an organization entity type.
The provider's business location address is:
6850 NEW TAMPA HWY STE 500
LAKELAND, FL
ZIP 33815-168
Phone: (863) 606-6655
Fax: (863) 583-9584
The provider's authorized official is Munear Ashton Kouzbari .
The authorized official title is President and has the following contact phone number (214) 682-8536.
The CLIA number assigned to this NPI record is 10D1079616 - independent with a certificate type of Certificate of Compliance.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
- Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
- Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
- Test for detecting genes associated with cancer (HCPCS:81455)
- Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- Test for detecting genes associated with blood related cancer (HCPCS:81450)
- Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
- Gene analysis (adenomatous polyposis coli), full gene sequence (HCPCS:81201)
- Gene analysis (bloom syndrome, recq helicase-like) (HCPCS:81209)
The enumeration date for this NPI number is 3/27/2008 and was last updated on 11/10/2023.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | | FLORIDA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 000135500 | MEDICAID | FLORIDA | |
