Active NPI
Labs at Your Door LLC
- Phlebology Physician
- Sunrise, FL
National Provider Identifier
1144729575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 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 DirectoryNPI 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.