1396384251 NPI number — ANALYZE PATHOLOGY INC.

Table of content: (NPI 1396384251)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396384251 NPI number — ANALYZE PATHOLOGY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANALYZE PATHOLOGY INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396384251
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
160 SW 12TH AVE STE 103B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DEERFIELD BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33442-3114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-507-0522
Provider Business Mailing Address Fax Number:
561-431-2922

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
160 SW 12TH AVE UNIT 103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DEERFIELD BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33442-3119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-507-0522
Provider Business Practice Location Address Fax Number:
561-431-2922
Provider Enumeration Date:
12/24/2019

Additional Information

Authorized Official

Authorized Official Last Name:
DZEVA
Authorized Official First Name:
ANNA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
561-507-0522

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0402692 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 250793244 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10026851000 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2533606 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300106398 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: Q100100 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 201307720A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100409614 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 328497 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110184700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1396384251 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1396384251 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 326560 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 003233701A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1396384251 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1396384251 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 700090141 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1041157430001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 250795946 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110184700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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