Provider Demographics
NPI:1093057655
Name:ACCURATE PATHOLOGY SERVICES MD PL
Entity Type:Organization
Organization Name:ACCURATE PATHOLOGY SERVICES MD PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOMBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-766-4120
Mailing Address - Street 1:PO BOX 742515
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2515
Mailing Address - Country:US
Mailing Address - Phone:941-766-4120
Mailing Address - Fax:941-766-4123
Practice Address - Street 1:2500 HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-5000
Practice Address - Country:US
Practice Address - Phone:941-766-4120
Practice Address - Fax:941-766-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty