National Laboratory Group LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800028061 Issued in FL

Legal business name

NATIONAL LABORATORY GROUP LLC

Practice address

6831 NW 20TH Ave Ste 104
Ft Lauderdale, FL 33309-1505

Phone

(561) 302-9186

NPI assigned

Mar 24, 2016

Last updated

Mar 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Alan DisingerNPI 1497120216

Title

President

Phone

(561) 302-9186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Disinger

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
  • NPI 1497120216
  NPD (past) Authorized official

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1093177420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 NW 20TH AVE STE 104",
            "city": "FT 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 STE 104",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091505",
            "telephone_number": "561-302-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL LABORATORY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "DISINGER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-302-9186"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800028061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 24, 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.