First Fisher Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FIRST FISHER LABORATORIES, LLC

Practice address

11350 SW Village Pkwy Ste 310
Port St Lucie, FL 34987-2352

Phone

(269) 704-7563

NPI assigned

Nov 1, 2018

Organization subpart

No

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

Authorized official

Name

Stacy Powell

Title

Manager

Phone

(269) 704-7563

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1083181622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CAPITAL AVE NE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173901",
            "telephone_number": "231-704-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 SW VILLAGE PKWY STE 310",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872352",
            "telephone_number": "269-704-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FISHER LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "269-704-7563"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Port St Lucie, FL
• Providers in Port St Lucie, 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 Nov 1, 2018; 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.