MARK AND KAMBOUR MD PA
NPI 1760456172
Pathology - Anatomic Pathology & Clinical Pathology in Miami Lakes, FL

Active since February 14, 2006CLIA 10D0978884 · Accreditation
16250 NW 59TH AVE STE 201, MIAMI LAKES, FL 33014(305) 825-4422 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark And Kambour Md Pa NPPES

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

MARK AND KAMBOUR MD PA (NPI 1760456172) is a healthcare organization registered as an anatomic pathology & clinical pathology in Miami Lakes, Florida and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through April 28, 2028 and lists Michael Grattendick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1760456172
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameMARK AND KAMBOUR MD PA
Location Address16250 NW 59TH AVE STE 201Miami Lakes, FL 33014-7542
Mailing Address11025 Rca Center Dr Ste 300Palm Beach Gardens, FL 33410-4269 · (561) 514-5822
Organization SubpartNo
Authorized OfficialMichael GrattendickCfo · (561) 514-5822
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1760456172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in FL · ME35872
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 · License ME35872 (FL)
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License ME35872 (FL)
16250 NW 59TH AVE STE 201, Miami Lakes, FL 33014

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)

Mark And Kambour Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Mark And Kambour MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Pathology16
Dermatology3

Clinicians, nearest first (19)

Pathology
NPI 1992776314
16250 NW 59TH AVE SUITE 201
Miami Lakes, FL 33014
(305) 825-4422
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1548432180
16250 NW 59TH AVE STE 201
Miami Lakes, FL 33014
(305) 825-4422
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1235340324
16250 NW 59TH AVE STE 201
Miami Lakes, FL 33014
(305) 825-4422
✔ PECOS✔ Accepts Medicare0.1 mi
Pathology
NPI 1497956569
1070 NE 87TH ST
Miami, FL 33138
(305) 527-1884
✔ PECOS8.9 mi
Pathology
NPI 1063855062
1400 NW 12TH AVE
Miami, FL 33136
(305) 243-1111
✔ PECOS✔ Accepts Medicare10 mi
Pathology
NPI 1467617506
8900 N KENDALL DR
Miami, FL 33176
(786) 596-6525
✔ PECOS✔ Accepts Medicare16 mi
Pathology
NPI 1801865910
745 ORIENTA AVE STE 1201
Altamonte Springs, FL 32701
(407) 551-5200
✔ PECOS✔ Accepts Medicare200 mi
Pathology
NPI 1316028376
5427 SW 75TH TER
Gainesville, FL 32608
(352) 373-0188
✔ PECOS✔ Accepts Medicare285 mi
Pathology
NPI 1801095450
1600 SW ARCHER RD
Gainesville, FL 32610
(352) 265-0238
✔ PECOS✔ Accepts Medicare285 mi
Pathology
NPI 1144662107
6504 NW 50TH LN
Gainesville, FL 32653
(352) 272-0824
✔ PECOS291 mi
Dermatology
NPI 1780668657
100 EXECUTIVE WAY STE 114
Ponte Vedra Beach, FL 32082
(904) 842-3632
✔ PECOS303 mi
Pathology
NPI 1760543243
3728 PHILIPS HWY STE 64
Jacksonville, FL 32207
(904) 296-2333
✔ PECOS✔ Accepts Medicare311 mi
Dermatology
NPI 1699744136
2330 BUTLER ST SUITE 115
Dallas, TX 75235
(214) 530-5200
✔ PECOS✔ Accepts Medicare1,103 mi
Pathology
NPI 1437130804
6655 N MACARTHUR BLVD
Irving, TX 75039
(214) 277-8700
✔ PECOS✔ Accepts Medicare1,112 mi
Pathology
NPI 1285687269
240 MEETING HOUSE LN SUITE #3
Southampton, NY 11968
(631) 726-8268
✔ PECOS✔ Accepts Medicare1,127 mi
Pathology
NPI 1750581583
1500 S MAIN ST
Fort Worth, TX 76104
(214) 638-2000
✔ PECOS✔ Accepts Medicare1,128 mi
Dermatology
NPI 1811204399
7123 WEST ARCHER AVE
Chicago, IL 60638
(773) 586-4506
✔ PECOS✔ Accepts Medicare1,175 mi
Pathology
NPI 1265827893
1380 E MEDICAL CENTER DR
Saint George, UT 84790
(435) 251-1000
✔ PECOS✔ Accepts Medicare2,095 mi
Pathology
NPI 1730573668
1950 W. STATE ROAD 426, SUITE 100 #1033
Oviedo, FL 32765
(321) 765-3564
✔ PECOS✔ Accepts Medicare

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 Accreditation 10D0978884

Mark & Kambour MD PA · Miami Lakes, FL
Active · expires Apr 28, 2028
CLIA Number10D0978884
Laboratory TypeIndependent
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorDr. Andrew J. Hanly
Laboratory Phone(305) 825-4422
Laboratory LocationMark & Kambour MD PA16250 NW 59th Ave Ste 201, Miami Lakes, FL 33014
CLIA data matches this NPI record on: Address 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 Mark And Kambour MD PA's NPI number?

The NPI number for Mark And Kambour MD PA is 1760456172. It was assigned to this organization in the NPPES registry on February 14, 2006.

Where is Mark And Kambour MD PA located?

Mark And Kambour MD PA is located at 16250 NW 59th Ave Ste 201, Miami Lakes, FL 33014. The listed phone number is (305) 825-4422.

What is Mark And Kambour MD PA's specialty?

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

Is Mark And Kambour MD PA enrolled in Medicare?

Yes. Mark And Kambour MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark And Kambour MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 2 Medicare specialties reassign their Medicare billing to Mark And Kambour MD PA. 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 (16) and Dermatology (3). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mark And Kambour MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D0978884) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mark And Kambour MD PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Mark And Kambour MD 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 Mark And Kambour MD PA was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.