BIOVANTRA LLC NPI 1891961462

NPI Information

  • NPI: 1891961462
  • Provider Name: BIOVANTRA LLC
  • Classification: Pathology - 207ZP0101X
  • Specialization: Anatomic Pathology
  • Entity Type: Organization
  • CLIA Number: 10D1087213
  • Address: 9401 SW HIGHWAY 200 STE 502
    OCALA, FL
    ZIP 34481
  • Phone: (352) 861-2296

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NPI Details

BIOVANTRA LLC is an anatomic pathology pathology in Ocala, 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. BIOVANTRA LLC NPI is 1891961462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9401 SW HIGHWAY 200 STE 502
OCALA, FL
ZIP 34481-650
Phone: (352) 861-2296
Fax: (352) 671-2737

The provider's authorized official is Donald Russell Locke .
The authorized official title is Managing Member and has the following contact phone number (352) 861-2296.

The CLIA number assigned to this NPI record is 10D1087213 - independent with a certificate type of Certificate of Accreditation.

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)
  • Evaluation of fine needle aspirate (HCPCS:88172)
  • Evaluation of fine needle aspirate with interpretation and report (HCPCS:88173)
  • Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure (HCPCS:88377)
  • Special stained specimen slides to examine tissue, each multiplex procedure (HCPCS:88344)

The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/8/2018.

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
1207ZP0101XPathologyAnatomic Pathology800025941FLORIDAYes

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: 11/21/2025

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