Organization Active NPI

Medical Lab on Wheels Inc

  • Clinical Medical Laboratory
  • Deltona, FL
National Provider Identifier
1104018118
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDICAL LAB ON WHEELS INC
Practice address
3249 Roland Dr
Deltona, FL 32738-9402
Phone
(407) 732-4808
Fax
(407) 732-4809
NPI assigned
Aug 14, 2007
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Ruth Roman
Title
Owner
Phone
(407) 446-6074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

3249 Roland Dr
Deltona, FL 32738-9402

Mailing address

3249 Roland Dr
Deltona, FL 32738-9402
Phone (407) 732-4808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1104018118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 ROLAND DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389402",
            "telephone_number": "407-732-4808",
            "fax_number": "407-732-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 ROLAND DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389402",
            "telephone_number": "407-732-4808",
            "fax_number": "407-732-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LAB ON WHEELS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-446-6074"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.