OrganizationActive
Integrated Regional Laboratories Pathology Services, LLC
NPI 1336080936 · Anatomic Pathology & Clinical Pathology Physician · Lutz, FL
Provider details
- NPI number
- 1336080936
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Davis, Chief Operating Officer(561) 402-4256
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18810 State Road 54
Lutz, FL 33558-5782
Phone: (727) 834-4883
Fax: (727) 816-2092
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 741087
Atlanta, GA 30374-1087
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.