CMS-1500 Box 24J / 33a • NPI
1942460662
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207ZP0105X (CMS 22)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Clinical Pathology — Laboratory Medicine
Box 32 Service Location & ZIP+4
4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224-1865
✓ 9-Digit EDI 837 ZIP+4 (32224-1865)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1942460662 (MATTHEW T OLSON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1942460662 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MATTHEW T OLSON |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Clinical Pathology — Laboratory Medicine NUCC Code: 207ZP0105X (Pathology, Clinical Pathology/Laboratory Medicine) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224-1865 |
| Practice Telephone / Fax | Tel: (904) 953-2000 |
| Administrative Mailing Address | 1210 FREELAND RD, FREELAND, MD, 21053-9563 |
| Enumeration & Last Sync | Enumerated: 2008-06-16 | CMS Record Updated: 2018-03-17 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207ZP0105X)
What Does Taxonomy Code 207ZP0105X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ZP0105X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Clinical Pathology — Laboratory Medicine"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MATTHEW T OLSON)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207ZC0006X — Pathology, Clinical PathologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Clinical Pathology | State: MD | License: D0074888 | Primary: Secondary |
207ZC0500X — Pathology, CytopathologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Cytopathology | State: MD | License: D0074888 | Primary: Secondary |
207ZP0101X — Pathology, Anatomic PathologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology | State: MD | License: D0074888 | Primary: Secondary |
207ZP0105X — Pathology, Clinical Pathology/Laboratory MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Clinical Pathology — Laboratory Medicine | State: FL | License: ME132667 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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