ST VINCENTS PATHOLOGY ASSOCIATES PA
NPI 1114074200
Pathology - Anatomic Pathology & Clinical Pathology in Jacksonville, FL
NPI Status: Active since January 04, 2007
Contact Information
1 SHIRCLIFF WAY
DEPT OF PATHOLOGY
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 308-7300
Fax: (904) 308-2970
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
- CLIA Number: 10D2196547
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-18-2026
About ST VINCENTS PATHOLOGY ASSOCIATES PA
This page provides the complete NPI Profile along with additional information for St Vincents Pathology Associates Pa, a provider established in Jacksonville, Florida operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1114074200 assigned on January 2007. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 2 years ago. St Vincents Pathology Associates Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Don Bernard Destephano Md (President)
- NPI
- 1114074200
- Provider Name
- ST VINCENTS PATHOLOGY ASSOCIATES PA
- Entity Type
- Organization
- Location Address
- 1 SHIRCLIFF WAY DEPT OF PATHOLOGY JACKSONVILLE, FL 32204
- Location Phone
- (904) 308-7300
- Location Fax
- (904) 308-2970
- Mailing Address
- PO BOX 144333 ORLANDO, FL 32814
- Mailing Phone
- (407) 422-9831
- Mailing Fax
- (904) 308-2970
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-04-2007
- Last Update Date
- 06-12-2024
- Code Navigator
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
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 10D2196547
- Facility Type
- Physician Office
- Certificate Effective Date
- October 19, 2024
- Certificate Expiration Date
- October 18, 2026
- Laboratory Director
- JOHN K. LAMBRIX
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St Vincents Pathology Associates Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1114074200, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114074200, enumerated as an "organization" on January 04, 2007.
The provider is located at 1 SHIRCLIFF WAY DEPT OF PATHOLOGY JACKSONVILLE, FL 32204 and the phone number is (904) 308-7300.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
