West Broward Clinical Laboratory, L.L.C.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WEST BROWARD CLINICAL LABORATORY, L.L.C.

Practice address

4850 W Oakland Park Blvd
Suite 203
Lauderdale Lakes, FL 33313-7260

Phone

(954) 739-3030

Fax

(954) 739-6010

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edward A. DauerNPI 1225026263

Title

President

Phone

(954) 739-0978

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Adrian Dauer, M.D.

  • Diagnostic Radiology Physician
  • Lauderdale Lakes, FL
  • NPI 1225026263
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013083468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD",
            "address_2": "SUITE 203",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137260",
            "telephone_number": "954-739-3030",
            "fax_number": "954-739-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD",
            "address_2": "SUITE 203",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137260",
            "telephone_number": "954-739-3030",
            "fax_number": "954-739-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BROWARD CLINICAL LABORATORY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAUER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-739-0978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett M Weintraub, L.D.O.
• Barry Weiss, MD
• Michelle Weiss, MD
• Wellmax Health Medical Centers, LLC
• Greta Wendorf, LMHC
• West Broward Kidney, PA
• West Broward Nephrology PA
• Ingrid S Whitbourne-Cooke, O.D.
• Yassecha Akela White, BCBA
• Ebony Sheena Whitfleld

• Clinical Medical Laboratory in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.