MID-FLORIDA PATHOLOGY LLC
NPI 1265798870
Pathology - Anatomic Pathology & Clinical Pathology in Eustis, FL

Active since April 09, 2012CLIA Certified · 13 labs
2100 PREVATT ST, EUSTIS, FL 32726(352) 305-8903(352) 460-0785 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2022, Feb 28, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Mid-florida Pathology Llc NPPES

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

MID-FLORIDA PATHOLOGY LLC (NPI 1265798870) is a healthcare organization registered as an anatomic pathology & clinical pathology in Eustis, Florida and active in the NPI registry since April 2012. The organization holds 13 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists James Kyle Allen, Director, as its authorized official.

NPPES Registry Identity

NPI1265798870
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameMID-FLORIDA PATHOLOGY LLC
Location Address2100 PREVATT STEustis, FL 32726-6130
Mailing AddressPo Box 490940Leesburg, FL 34749-0940 · (352) 460-0292 · Fax (352) 460-0785
Fax(352) 460-0785
Organization SubpartNo
Authorized OfficialJames Kyle AllenDirector · (352) 460-0292
Enumeration DateApril 9, 2012
Last NPPES UpdateAugust 15, 20224 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1265798870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
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.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X
Also ListedPathology · HematologyTaxonomy 207ZH0000X
2100 PREVATT ST, Eustis, FL 32726

Secondary Practice Locations 3

Location 1125 SW 7th StWilliston, FL 32696-2403 · Phone (352) 308-8903 · Fax (352) 460-0785
Location 29350 BAY PLAZA BLVD STE 120-26, 27Tampa, FL 33619 · Phone (352) 308-8903 · Fax (352) 460-0785
Location 3120 E North Blvd Ste 102Leesburg, FL 34748-5241 · Phone (352) 460-0292 · Fax (352) 460-0785

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid-florida Pathology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Mid-Florida Pathology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Pathology12
Dermatology1

Clinicians, nearest first (13)

Pathology
NPI 1902885999
2100 PREVATT ST
Eustis, FL 32726
(352) 308-8903
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1073592812
120 E NORTH BLVD SUITE 102
Leesburg, FL 34748
(352) 460-0292
✔ PECOS✔ Accepts Medicare11 mi
Pathology
NPI 1457471666
7001 LAKE ELLENOR DR
Orlando, FL 32809
(407) 992-0997
✔ PECOS31 mi
Pathology
NPI 1801145032
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
(386) 231-3523
✔ PECOS✔ Accepts Medicare45 mi
Pathology
NPI 1922362516
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
(386) 231-3523
✔ PECOS✔ Accepts Medicare45 mi
Pathology
NPI 1710368501
18311 HIGHWOODS PRESERVE PKWY UNIT 6413
Tampa, FL 33647
(908) 316-2324
✔ PECOS✔ Accepts Medicare63 mi
Pathology
NPI 1801051545
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-7365
✔ PECOS✔ Accepts Medicare69 mi
Pathology
NPI 1508824228
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 202-1347
✔ PECOS✔ Accepts Medicare102 mi
Pathology
NPI 1518121888
12432 KELLY SANDS WAY
Fort Myers, FL 33908
(561) 755-0203
✔ PECOS✔ Accepts Medicare161 mi
Dermatology
NPI 1790171353
22029 STATE ROAD 7 STE 1
Boca Raton, FL 33428
(561) 923-0905
✔ PECOS✔ Accepts Medicare194 mi
Pathology
NPI 1033115209
20601 E DIXIE HWY SUITE 300
Aventura, FL 33180
(305) 933-3310
✔ PECOS✔ Accepts Medicare219 mi
Pathology
NPI 1710905468
3495 HACKS CROSS RD
Memphis, TN 38125
(901) 526-7444
✔ PECOS✔ Accepts Medicare640 mi
Pathology
NPI 1942245378
4320 SEMINARY RD
Alexandria, VA 22304
(703) 504-3464
✔ PECOS737 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 13

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 10D2040415

Mid-Florida Pathology LLC Mobile Unit # 1 · Leesburg, FL
Active · expires Jun 24, 2028
CLIA Number10D2040415
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorJuan J. Mercado
Laboratory Phone(352) 460-0292
Laboratory LocationMid-Florida Pathology LLC Mobile Unit # 1120 E North Blvd Ste 102, Leesburg, FL 34748
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2172983

Mid-Florida Pathology, LLC · Eustis, FL
Active · expires Jun 4, 2028
CLIA Number10D2172983
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorMohammad Abuel-Haija
Laboratory Phone(352) 460-0292
Laboratory LocationMid-Florida Pathology, LLC2100 Prevatt Street, Eustis, FL 32726
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2212076

Mid Florida Pathology LLC · Eustis, FL
Active · expires Oct 28, 2027
CLIA Number10D2212076
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorArchi Patel
Laboratory Phone(352) 460-0292
Laboratory LocationMid Florida Pathology LLC2100 Prevatt Street, Eustis, FL 32726
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2149066

Mid Florida Pathology LLC Mobile Unit #4 · Eustis, FL
Active · expires Feb 28, 2027
CLIA Number10D2149066
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorMohammad A. Abuel Haija
Laboratory Phone(352) 460-0292
Laboratory LocationMid Florida Pathology LLC Mobile Unit #42100 Prevatt St, Eustis, FL 32726
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 10D2040413

Mid-Florida Pathology · Eustis, FL
Active · expires Nov 22, 2026
CLIA Number10D2040413
Laboratory TypeIndependent
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorDr. James K. Allen
Laboratory Phone(352) 460-0292
Laboratory LocationMid-Florida Pathology2100 Prevatt St, Eustis, FL 32726
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 10D2123842

Mid - Florida Pathology LLC · Leesburg, FL
Active · expires Feb 9, 2027
CLIA Number10D2123842
Laboratory TypeIndependent
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorMartin Austria
Laboratory Phone(350) 460-0292
Laboratory LocationMid - Florida Pathology LLC120 East North Blvd Ste 102, Leesburg, FL 34748
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 35

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.
18,027 services6,254 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
4,008 services2,076 patients
Pathology examination of specimen during surgery, each additional tissue block 88332
During surgery, a pathology examination may be done on additional tissue blocks. This involves taking small samples of tissue and examining them under a microscope. This helps identify any abnormal cells or diseases present, aiding in the precise diagnosis and treatment planning.
3,948 services772 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
3,458 services1,698 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.
2,268 services1,624 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.
1,834 services572 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 Mid-Florida Pathology LLC's NPI number?

The NPI number for Mid-Florida Pathology LLC is 1265798870. It was assigned to this organization in the NPPES registry on April 9, 2012.

Where is Mid-Florida Pathology LLC located?

Mid-Florida Pathology LLC is located at 2100 Prevatt St, Eustis, FL 32726. The listed phone number is (352) 305-8903.

What is Mid-Florida Pathology LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mid-Florida Pathology LLC enrolled in Medicare?

Yes. Mid-Florida Pathology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-Florida Pathology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Mid-Florida Pathology 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. The largest specialties are Pathology (12) and Dermatology (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mid-Florida Pathology LLC hold CLIA laboratory certificates?

Yes. 13 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mid-Florida Pathology LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list Mid-Florida Pathology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid-Florida Pathology LLC was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.