Provider Demographics
NPI:1437254257
Name:GLOBAL PATHOLOGY LABORATORY SERVICES, INC.
Entity Type:Organization
Organization Name:GLOBAL PATHOLOGY LABORATORY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HANLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-825-4422
Mailing Address - Street 1:16250 NW 59TH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-7542
Mailing Address - Country:US
Mailing Address - Phone:305-825-4422
Mailing Address - Fax:786-639-0712
Practice Address - Street 1:16250 NW 59TH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-7542
Practice Address - Country:US
Practice Address - Phone:305-825-4422
Practice Address - Fax:786-639-0712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70688291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG37782Medicare UPIN
FL31608Medicare ID - Type Unspecified