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Biovantra LLC

NPI 1891961462ActiveOrganization· Pathology, Anatomic Pathology· Ocala, FL

Pathology, Anatomic Pathology in Ocala, Florida, registered in NPPES in May 2008. The authorized official on file is Donald Russell Locke, M.D., Managing Member. Medicare paid $392,999 for services to 139 patients in 2024.

Overview

NPI1891961462
StatusActive
Entity typeOrganization
NPI issuedMay 5, 2008
Last updated in NPPESMay 8, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Pathology, Anatomic Pathology Primary207ZP0101X800025941FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Independent Clinical Laboratory (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients139
Services billed3,331 across 8 procedure codes
Paid by Medicare$392,999

Medicare sources and data years

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