Medical & Co. LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDICAL & CO. LLC

Practice address

417 NW 2ND Ave Ste 1a
Hallandale Beach, FL 33009-3302

Phone

(786) 570-9234

NPI assigned

Jun 20, 2022

Organization subpart

No

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

Authorized official

Name

Simon Emmanuel Shoshan

Title

MGRM

Phone

(786) 570-9234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1073244190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 95TH ST UNIT 545951",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542820",
            "telephone_number": "786-570-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 NW 2ND AVE STE 1A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093302",
            "telephone_number": "786-570-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL & CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-01-16",
        "status": "A",
        "authorized_official_last_name": "SHOSHAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "786-570-9234"
    },
    "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 Jun 20, 2022; 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.