Organization Active NPI

Labs at Your Door LLC

  • Phlebology Physician
  • Sunrise, FL
National Provider Identifier
1144729575
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
LABS AT YOUR DOOR LLC
Practice address
4612 N Hiatus Rd
Sunrise, FL 33351-7909
Phone
(954) 643-4105
Fax
(866) 768-4708
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Patsy McCoard
Title
Owner
Phone
(954) 643-4105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

4612 N Hiatus Rd
Sunrise, FL 33351-7909

Mailing address

4612 N Hiatus Rd
Sunrise, FL 33351-7909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1144729575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 N HIATUS RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 N HIATUS RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517909",
            "telephone_number": "954-643-4105",
            "fax_number": "866-768-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABS AT YOUR DOOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "MCCOARD",
        "authorized_official_first_name": "PATSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-643-4105"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.