Prince Laboratories Limited Liability Company

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRINCE LABORATORIES LIMITED LIABILITY COMPANY

Practice address

450 Fairway Dr Ste 104
Deerfield Beach, FL 33441-1837

Phone

(754) 200-9844

Fax

(754) 202-0083

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Ashley Marie Palazzola

Title

Owner

Phone

(754) 200-9844

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1124725817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 FAIRWAY DR STE 104",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411837",
            "telephone_number": "754-200-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FAIRWAY DR STE 104",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411837",
            "telephone_number": "754-200-9844",
            "fax_number": "754-202-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE LABORATORIES LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "PALAZZOLA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-200-9844"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Price, L.C.S.W.
• Michael L Price, LCSW
• Riley Johanna Price
• Misdaly Lidia Prieto
• Ashleigh Primack
• Nylah Prince
• Carin Prindle
• Shaniqua Nicole Prioleau
• Priority One Transit Services LLC
• Priti Diet Wellness Center LLC

• Clinical Medical Laboratory in Deerfield Beach, FL
• Providers in Deerfield Beach, 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 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.