NPI Details
ATLANTIC PATHOLOGY GROUP, 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. ATLANTIC PATHOLOGY GROUP, PA NPI is 1972694073. The provider is registered as an organization entity type.
The provider's business location address is:
1335 VALENTINE ST
MELBOURNE, FL
ZIP 32901-127
Phone: (321) 956-2986
Fax: (321) 956-9430
The provider's authorized official is Jose A Reilova .
The authorized official title is M.d./medical Director and has the following contact phone number (321) 956-2986.
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)
- Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
- Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
- Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
- Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/22/2020.
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 | | 291U00000X | 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 | 21149357704 01 | OTHER | FLORIDA | BEECHSTREET |
| 2 | 34921 | OTHER | FLORIDA | HARVARD PILGRAM |
| 3 | 1305501 | OTHER | FLORIDA | BC/BS OF PA |
| 4 | P2498579 | OTHER | FLORIDA | OXFORD HEALTH PLAN |
| 5 | 618277 | OTHER | FLORIDA | TRIGON BC/BS |
