NPIMap

Organization Active NPI

Complab LLC

  • Point of Service
  • Sarasota, FL
National Provider Identifier
1093072365
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
COMPLAB LLC
Practice address
2 N Tuttle Ave
Sarasota, FL 34237-6328
Phone
(941) 243-3855
Fax
(941) 243-3854
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Jeremy Waldrip
Title
Owner
Phone
(941) 284-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

2 N Tuttle Ave
Sarasota, FL 34237-6328

Mailing address

PO Box 14802
Bradenton, FL 34280-4802
Phone (855) 233-3755

National Provider Directory

National Provider Directory

Locations

2 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 951-1888

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1093072365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14802",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342804802",
            "telephone_number": "855-233-3755",
            "fax_number": "941-243-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376328",
            "telephone_number": "941-243-3855",
            "fax_number": "941-243-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "WALDRIP",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-284-8355"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.