Provider Demographics
NPI:1396875936
Name:ACUPATH INC
Entity type:Organization
Organization Name:ACUPATH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ATHANASSIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPAIOANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-916-3200
Mailing Address - Street 1:658 GRASSMERE PARK STE 102
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3683
Mailing Address - Country:US
Mailing Address - Phone:615-916-3200
Mailing Address - Fax:
Practice Address - Street 1:1710 36TH ST BLDG A
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4824
Practice Address - Country:US
Practice Address - Phone:772-567-7088
Practice Address - Fax:772-978-9212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL9265OtherBLUE CROSS BLUE SHIELD
FL271079000Medicaid
FLP00068875OtherRAILROAD MEDICARE
FLP00068875OtherRAILROAD MEDICARE