LCM Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LCM LABS LLC

Practice address

6831 NW 20TH Ave
Suite 105
Fort Lauderdale, FL 33309-1505

Phone

(215) 601-5853

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Casey Lidlow

Title

Cfo

Phone

(610) 937-5385

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1083069843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 NW 20TH AVE",
            "address_2": "SUITE 105",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 NW 20TH AVE",
            "address_2": "SUITE 105",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091505",
            "telephone_number": "215-601-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCM LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "LIDLOW",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-937-5385"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lazareva, LMFT
• Sandra Marie Lazarre, SOCIAL WORKER
• Sasha Ross Lazarus, M.D.
• Brazelia Lazzari
• Jessica Lin Lazzell, LMHC
• Le Chateau Alf
• Phi H Le
• Tho CHI Le, DO
• Jennifer Leace, MS CCC-SLP
• John C Leach, MD

• Clinical Medical Laboratory in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.