Organization Active NPI

Forensic Stat Laboratory Inc

  • Clinical Medical Laboratory
  • Coral Springs, FL
National Provider Identifier
1073962288
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800028166 Issued in FL
Legal business name
FORENSIC STAT LABORATORY INC
Doing business as
Valenex
Practice address
10438 W Atlantic Blvd
Coral Springs, FL 33071-5605
Phone
(833) 954-8378
Fax
(844) 803-6046
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Mr. Madhukar Sharma
Title
Owner
Phone
(833) 954-8378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800028166 FL Primary

Addresses

Primary practice location

10438 W Atlantic Blvd
Coral Springs, FL 33071-5605

Mailing address

10438 W Atlantic Blvd
Coral Springs, FL 33071-5605
Phone (833) 954-8378

Other names 1

  • Valenex Doing business as

National Provider Directory

National Provider Directory

Locations

7522 Wiles Rd
Ste B211
Coral Springs, FL 33067
Phone (833) 954-8378

10438 W Atlantic Blvd
Coral Springs, FL 33071
Phone (833) 954-8378

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1073962288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10438 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715605",
            "telephone_number": "833-954-8378",
            "fax_number": "844-803-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10438 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715605",
            "telephone_number": "833-954-8378",
            "fax_number": "844-803-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC STAT LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "MADHUKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-954-8378",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800028166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valenex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.