Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrated Regional Laboratories Pathology Services, LLC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1336080936

Integrated Regional Laboratories Pathology Services, LLC is an Anatomic Pathology & Clinical Pathology Physician in Lutz, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18810 State Road 54
Lutz, FL 33558-5782
Phone: (727) 834-4883
Fax: (727) 816-2092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1336080936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Davis — Chief Operating Officer · (561) 402-4256
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing addressPo Box 741087, Atlanta, GA 30374-1087

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