CM Lab Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D1046281 Issued in FL

Legal business name

CM LAB INC.

Practice address

20861 Johnson St Ste 117
Pembroke Pines, FL 33029-1927

Phone

(954) 704-9116

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Michael F. Bogdan

Title

President

Phone

(954) 552-1003

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1013442573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20861 JOHNSON ST STE 117",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291927",
            "telephone_number": "954-704-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20861 JOHNSON ST STE 117",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291927",
            "telephone_number": "954-704-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CM LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "BOGDAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-552-1003"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D1046281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Apr 21, 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.