Southern Quest LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTHERN QUEST LLC

Practice address

1500 NW 62ND St Ste 406
Ft Lauderdale, FL 33309-1851

Phone

(954) 546-4460

Fax

(866) 635-0548

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Darren Grant

Title

Ceo

Phone

(954) 546-4460

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1033820899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 62ND ST STE 406",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091851",
            "telephone_number": "954-546-4460",
            "fax_number": "866-635-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 62ND ST STE 406",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091851",
            "telephone_number": "954-546-4460",
            "fax_number": "866-635-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN QUEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-546-4460"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.