Lab 22

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB 22

Practice address

1614 NW 42ND PL
Cape Coral, FL 33993-3443

Phone

(239) 900-6167

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Alfred Cook

Title

Owner

Phone

(239) 900-6167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1154070936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 NW 42ND PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339933443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 NW 42ND PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339933443",
            "telephone_number": "239-900-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB 22",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-900-6167"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Colonia IV Alf, Inc
• La Colonia V Alf, Inc.
• La Milagrosa Medical Center, Inc
• Jose Carlos La O Puentes
• Tamara La Rosa
• Maytte Labrador Alvarez, RBT
• Juan Carlos Labrador Cabrera
• Salvatore Lacagnina, D.O.
• Jamie M Lachance, LMT
• Carrie Michelle Lachermeier, DC

• Clinical Medical Laboratory in Cape Coral, FL
• Providers in Cape Coral, 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 Mar 21, 2022; 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.