Active NPI
Physician's Laboratory, Inc.
- Clinical Medical Laboratory
- Boynton Beach, FL
National Provider Identifier
1043621337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PHYSICIAN'S LABORATORY, INC.
- Practice address
- 200 Knuth Rd
Suite 230
Boynton Beach, FL 33436-4629 - Phone
- (561) 777-2273
- NPI assigned
- May 8, 2014
- 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
- Ms. Ann Williams
- Title
- President
- Phone
- (561) 715-7373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
200 Knuth Rd
Suite 230
Boynton Beach, FL 33436-4629
Mailing address
1570 SW 16TH St
Boca Raton, FL 33486-6535
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399507200000",
"number": "1043621337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 SW 16TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334866535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 KNUTH RD",
"address_2": "SUITE 230",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334364629",
"telephone_number": "561-777-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN'S LABORATORY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-08",
"last_updated": "2014-05-08",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-715-7373",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.