OrganizationActive
Integrated Regional Laboratories Pathology Services, LLC
NPI 1992477673 · Anatomic Pathology & Clinical Pathology Physician · Champions Gate, FL
Provider details
- NPI number
- 1992477673
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Davis, Chief Operations Officer(561) 402-4256
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
8460 Champions Gate Blvd
Champions Gate, FL 33896-9301
Phone: (407) 530-2420
Street-level locationGet directions
Mailing address
Po Box 741087
Atlanta, GA 30374-1087
Registry dates
- Enumerated
- 2021-10-01
- Last updated
- 2021-10-18
- Certified
- 2021-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.