Organization Active NPI

My Lab Clinic LLC

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1154004992
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MY LAB CLINIC LLC
Practice address
9973 NW 9TH CT
Plantation, FL 33324-1159
Phone
(704) 345-4251
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Meirav Greenberg, FNP-BCNPI 1154800233
Title
Owner
Phone
(704) 345-4251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9973 NW 9TH CT
Plantation, FL 33324-1159

Mailing address

9973 NW 9TH CT
Plantation, FL 33324-1159
Phone (704) 345-4251

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1154004992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9973 NW 9TH CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241159",
            "telephone_number": "704-345-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9973 NW 9TH CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241159",
            "telephone_number": "704-345-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY LAB CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "MEIRAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-345-4251",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.