Florida Family Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800001649 Issued in FL

Legal business name

FLORIDA FAMILY LABORATORY, INC.

Practice address

7290 SW 42ND St
Miami, FL 33155

Phone

(800) 563-3309

Fax

(800) 833-1066

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Suren Musheyev

Title

Ceo

Phone

(800) 563-3309

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SM Diagnostics Doing business as

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1013930429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554506",
            "telephone_number": "800-563-3309",
            "fax_number": "800-833-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "800-563-3309",
            "fax_number": "800-833-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FAMILY LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "MUSHEYEV",
        "authorized_official_first_name": "SUREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-563-3309",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800001649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03007050",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SM Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Miami, FL
• Providers in Miami, 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 Oct 19, 2021; 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.