Provider Demographics
NPI:1518101872
Name:APPLIED PATHOLOGY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:APPLIED PATHOLOGY SOLUTIONS, LLC
Other - Org Name:APPLIED PATHOLOGY LABORATORIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BABBIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-374-8617
Mailing Address - Street 1:10951 CORY LAKE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3464
Mailing Address - Country:US
Mailing Address - Phone:813-374-8617
Mailing Address - Fax:813-374-8656
Practice Address - Street 1:10951 CORY LAKE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3464
Practice Address - Country:US
Practice Address - Phone:813-374-8617
Practice Address - Fax:813-374-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory