BAYSHORE PATHOLOGY CONSULTANTS PA
NPI 1700217460
Pathology - Anatomic Pathology & Clinical Pathology in Port Charlotte, FL

Active since December 06, 2013CLIA Certified · 2 labs
18338 MURDOCK CIRCLE, PORT CHARLOTTE, FL 33948(941) 313-9009(941) 623-9532 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bayshore Pathology Consultants Pa NPPES

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

BAYSHORE PATHOLOGY CONSULTANTS PA (NPI 1700217460) is a healthcare organization registered as an anatomic pathology & clinical pathology in Port Charlotte, Florida and active in the NPI registry since December 2013. The organization holds 2 active CLIA laboratory certificates and lists Virginia Oquendo, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1700217460
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameBAYSHORE PATHOLOGY CONSULTANTS PA
Location Address18338 MURDOCK CIRCLEPort Charlotte, FL 33948-1032
Mailing Address18338 Murdock CirclePort Charlotte, FL 33948-1032 · (941) 313-9009 · Fax (941) 623-9532
Fax(941) 623-9532
Organization SubpartNo
Authorized OfficialVirginia OquendoCredentialing Specialist · (941) 315-9955
Enumeration DateDecember 6, 2013
Last NPPES UpdateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
NPI 1700217460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in FL · ME70208
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.
18338 MURDOCK CIRCLE, Port Charlotte, FL 33948

Other Identifiers 2

Medicaid110921700FL
Other005AYFL · Florida Blue

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 10D2328657

Bayshore Pathology Consultants PA · Davie, FL
Active · expires Mar 22, 2028
CLIA Number10D2328657
Laboratory TypeIndependent
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorJose Augusto Ross
Laboratory Phone(941) 313-9009
Laboratory LocationBayshore Pathology Consultants PA5200 S University Drive Suite 102, Davie, FL 33328
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D2072632

Bayshore Pathology Consultants PA · Port Charlotte, FL
Active · expires Oct 25, 2026
CLIA Number10D2072632
Laboratory TypeIndependent
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorDr. Jose A. Ross
Laboratory Phone(941) 313-9009
Laboratory LocationBayshore Pathology Consultants PA18338 Murdock Cir Ste 101, Port Charlotte, FL 33948
CLIA data matches this NPI record on: 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.

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 Bayshore Pathology Consultants PA's NPI number?

The NPI number for Bayshore Pathology Consultants PA is 1700217460. It was assigned to this organization in the NPPES registry on December 6, 2013.

Where is Bayshore Pathology Consultants PA located?

Bayshore Pathology Consultants PA is located at 18338 Murdock Circle, Port Charlotte, FL 33948. The listed phone number is (941) 313-9009.

What is Bayshore Pathology Consultants PA's specialty?

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

Does Bayshore Pathology Consultants PA hold CLIA laboratory certificates?

Yes. 2 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 Bayshore Pathology Consultants PA accept?

Health plans from Oscar Health Maintenance Organization of Florida list Bayshore Pathology Consultants PA 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 Bayshore Pathology Consultants PA was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.