SPACE COAST PATHOLOGISTS PA NPI 1700183506

NPI Information

  • NPI: 1700183506
  • Provider Name: SPACE COAST PATHOLOGISTS PA
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Address: 1350 S HICKORY ST
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 953-4804

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NPI Details

SPACE COAST PATHOLOGISTS PA is a clinical medical laboratory in Melbourne, 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. SPACE COAST PATHOLOGISTS PA NPI is 1700183506. The provider is registered as an organization entity type.

The provider's business location address is:

1350 S HICKORY ST
MELBOURNE, FL
ZIP 32901-224
Phone: (321) 953-4804
Fax: (321) 728-7176

The provider's authorized official is Carl Smedberg .
The authorized official title is President and has the following contact phone number (321) 953-4804.

The enumeration date for this NPI number is 2/15/2011 and was last updated on 2/15/2011.

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
1291U00000XClinical Medical LaboratoryFLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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