Organization Active NPI

Lab Test 4 U

  • Clinical Informatics (Pathology) Physician
  • Pembroke Pines, FL
National Provider Identifier
1053920157
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Informatics (Pathology) PhysicianTaxonomy code 207ZC0008X
Legal business name
LAB TEST 4 U
Practice address
8367 Pines Blvd
Pembroke Pines, FL 33024
Phone
(954) 613-5931
Fax
(954) 799-5951
NPI assigned
Jul 24, 2020
Organization subpart
Yes
Parent organization
PREFERRED HEALTH INSURANCE/DBA LAB TEST 4 UAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Maureen Victoria Smith, CT SPECIMENCOLLECTOR
Title
Owner
Phone
(954) 662-8603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Informatics (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0008X Primary

Addresses

Primary practice location

8367 Pines Blvd
Pembroke Pines, FL 33024

Mailing address

8367 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 613-5931

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherFLNONE

Other names 2

  • Lab Test 4 U Doing business as
  • Preferred Health Insurance Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Web Direct

National Provider Directory

National Provider Directory
Part of
Lab Test 4 U

Locations

8367 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 613-5931

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1053920157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8367 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-613-5931",
            "fax_number": "954-799-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8367 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-613-5931",
            "fax_number": "954-799-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB TEST 4 U",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED HEALTH INSURANCE/DBA LAB TEST 4 U",
        "enumeration_date": "2020-07-24",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-662-8603",
        "authorized_official_credential": "CT SPECIMENCOLLECTOR"
    },
    "taxonomies": [
        {
            "code": "207ZC0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Informatics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Web",
            "affiliation": "N",
            "endpointDescription": "Desktop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "403 SW 103rd Ave Apt 301",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330251881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lab Test 4 U",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preferred Health Insurance",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.