Active NPI
Jayde Laboratories LLC
- Clinical Medical Laboratory
- Jupiter, FL
National Provider Identifier
1003281890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.