Provider Demographics
NPI:1407013493
Name:ACCESS PATHOLOGY INC
Entity Type:Organization
Organization Name:ACCESS PATHOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SALAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-985-8700
Mailing Address - Street 1:12408 N 56TH ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-1522
Mailing Address - Country:US
Mailing Address - Phone:813-985-8700
Mailing Address - Fax:813-985-8711
Practice Address - Street 1:12408 N 56TH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-1522
Practice Address - Country:US
Practice Address - Phone:813-985-8700
Practice Address - Fax:813-985-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL800023384291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory