Organization Active NPI

Jayde Laboratories LLC

  • Clinical Medical Laboratory
  • Jupiter, FL
National Provider Identifier
1003281890
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JAYDE LABORATORIES LLC
Practice address
555 Heritage Dr
#140
Jupiter, FL 33458-5285
Phone
(561) 714-8401
NPI assigned
Dec 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adrian Sherod Rogers
Title
Ceo
Phone
(336) 324-2174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

555 Heritage Dr
#140
Jupiter, FL 33458-5285

Mailing address

1977 Brandywine Rd
#204
West Palm Beach, FL 33409-6808
Phone (336) 324-2174

National Provider Directory

National Provider Directory

Locations

555 Heritage Dr
Ste 140
Jupiter, FL 33458
Phone (561) 714-8401

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1003281890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 BRANDYWINE RD",
            "address_2": "#204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096808",
            "telephone_number": "336-324-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HERITAGE DR",
            "address_2": "#140",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585285",
            "telephone_number": "561-714-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYDE LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-05",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "SHEROD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-324-2174"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.