AMERIPATH FLORIDA LLC
NPI 1194501122
Clinical Medical Laboratory in Winter Haven, FL

Active since September 06, 2023
1324 E LAKE CANNON DR NW, WINTER HAVEN, FL 33881(813) 972-7100(813) 972-8269 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 31, 2025, Sep 6, 2023 (2 updates tracked since 2023).

About Ameripath Florida Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMERIPATH FLORIDA LLC (NPI 1194501122) is a healthcare organization registered as a clinical medical laboratory in Winter Haven, Florida and active in the NPI registry since September 2023. The organization lists Darren Thomas Wheeler, Vice President, as its authorized official.

NPPES Registry Identity

NPI1194501122
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameAMERIPATH FLORIDA LLC
Location Address1324 E LAKE CANNON DR NWWinter Haven, FL 33881-2334
Mailing Address14275 Midway Rd Ste 400Addison, TX 75001-3614 · (866) 697-8378 · Fax (610) 271-4245
Fax(813) 972-8269
Organization SubpartYesParent: Ameripath, Inc
Authorized OfficialDarren Thomas WheelerVice President · (973) 520-2700
Enumeration DateSeptember 6, 2023
Last NPPES UpdateMay 31, 20252 updates tracked since enumeration
NPPES CertifiedMay 31, 2025
✔ NPI 1194501122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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.
1324 E LAKE CANNON DR NW, Winter Haven, FL 33881

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ameripath Florida Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20040722000893Non-DME Part B · Independent Clinical LaboratoryDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ameripath Florida LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pathology
NPI 1811976798
8150 CHANCELLOR DR SUITE 110
Orlando, FL 32809
(407) 587-4243
✔ PECOS35 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2290136

Ameripath Florida LLC · Winter Haven, FL
Expired · Sep 30, 2026
CLIA Number10D2290136
Laboratory TypeIndependent
Certificate Effective DateApril 5, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorClifford H. Threlkeld
Laboratory Phone(863) 221-9021
Laboratory LocationAmeripath Florida LLC1324 E Lake Cannon Drive NW, Winter Haven, FL 33881
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
517 services356 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
376 services61 patients
Flow cytometry technique for dna or cell analysis, each additional marker 88185
Flow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.
266 services17 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
196 services178 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
137 services126 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
108 services78 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ameripath Florida LLC's NPI number?

The NPI number for Ameripath Florida LLC is 1194501122. It was assigned to this organization in the NPPES registry on September 6, 2023.

Where is Ameripath Florida LLC located?

Ameripath Florida LLC is located at 1324 E Lake Cannon Dr NW, Winter Haven, FL 33881. The listed phone number is (813) 972-7100.

What is Ameripath Florida LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Ameripath Florida LLC enrolled in Medicare?

Yes. Ameripath Florida LLC is registered in the Medicare PECOS enrollment system.

When is Ameripath Florida LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Independent Clinical Laboratory) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ameripath Florida LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pathology) reassigns their Medicare billing to Ameripath Florida LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ameripath Florida LLC was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.