PATHOLOGY MEDICAL LABORATORIES
NPI 1003896853
Clinical Medical Laboratory in Leesburg, FL

NPI Status: Active since January 18, 2006

Contact Information

913 B NORTH BLVD E
LEESBURG, FL
ZIP 34748
Phone: (352) 787-6733
Fax: (352) 787-9228

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 10D1074211
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-24-2026

About PATHOLOGY MEDICAL LABORATORIES

This page provides the complete NPI Profile along with additional information for Pathology Medical Laboratories, a provider established in Leesburg, Florida operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1003896853 assigned on January 2006. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Susan Mary Rendon Md (President Pathology Medical Laberat)

NPI
1003896853
Provider Name
PATHOLOGY MEDICAL LABORATORIES
Entity Type
Organization
Location Address
913 B NORTH BLVD E LEESBURG, FL 34748
Location Phone
(352) 787-6733
Location Fax
(352) 787-9228
Mailing Address
913 B NORTH BLVD E LEESBURG, FL 34748
Mailing Phone
(352) 787-6733
Mailing Fax
(352) 787-9228
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2006
Last Update Date
09-04-2007
Code Navigator

Establishments like Pathology Medical Laboratories are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN MARY RENDON MD

Authorized Official Title
PRESIDENT PATHOLOGY MEDICAL LABERAT
Authorized Official Phone
(352) 787-6733

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
L9247MEDICARE PIN (08)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1074211
Facility Type
Physician Office
Certificate Effective Date
October 25, 2024
Certificate Expiration Date
October 24, 2026
Laboratory Director
JAMES K. ALLEN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Pathology Medical Laboratories after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003896853, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 6 + 9 + 1 + 2 + 8 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1003896853.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003896853, enumerated as an "organization" on January 18, 2006.

The provider is located at 913 B NORTH BLVD E LEESBURG, FL 34748 and the phone number is (352) 787-6733.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.