| Entity Name: | PASCO PATHOLOGY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Aug 2000 (24 years ago) |
| Document Number: | P00000080786 |
| FEI/EIN Number | 593664497 |
| Address: | 5303 LOCUST PLACE, NEW PORT RICHEY, FL, 34652-3736 |
| Mail Address: | 5303 LOCUST PLACE, NEW PORT RICHEY, FL, 34652-3736 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518073584 | 2006-08-22 | 2011-06-09 | PO BOX 100559, FLORENCE, SC, 295020559, US | 6600 MADISON STREET, PASCO PATHOLOGY SERVICES INC, NEW PORT RICHEY, FL, 34652, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 843-664-4300 |
| Fax | 8436644308 |
| Phone | +1 727-841-4687 |
| Fax | 7707765966 |
Authorized person
| Name | YAO CHENG ONG |
| Role | PRESIDENT |
| Phone | 7278414687 |
Taxonomy
| Taxonomy Code | 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician |
| License Number | 10D0297904 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 74971 |
| State | FL |
| Issuer | MEDICAID |
| Number | 271717400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 051285100 |
| State | FL |
| Issuer | BCBS OF FL |
| Number | 74971 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LANE LESTER E | Agent | 5303 LOCUST PLACE, NEW PORT RICHEY, FL, 346523736 |
| Name | Role | Address |
|---|---|---|
| ONG YAO CHENG | Director | 4712 GRANDVIEW AVENUE, NEW PORT RICHEY, FL, 346521039 |
| Name | Role | Address |
|---|---|---|
| ONG YAO CHENG | President | 4712 GRANDVIEW AVENUE, NEW PORT RICHEY, FL, 346521039 |
| Name | Role | Address |
|---|---|---|
| ONG YAO CHENG | Treasurer | 4712 GRANDVIEW AVENUE, NEW PORT RICHEY, FL, 346521039 |
| Name | Role | Address |
|---|---|---|
| ONG YAO CHENG | Secretary | 4712 GRANDVIEW AVENUE, NEW PORT RICHEY, FL, 346521039 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
