Organization Active NPI

On Site Medical Services

  • Clinical Medical Laboratory
  • Orlando, FL
National Provider Identifier
1174543466
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
65193 CLIA Issued in FL
Legal business name
ON SITE MEDICAL SERVICES
Practice address
813 E Michigan St
Orlando, FL 32806-4625
Phone
(407) 893-7055
Fax
(866) 404-8703
NPI assigned
Jul 20, 2006
Last updated
Aug 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Veronica Irene Cotter
Title
President
Phone
(407) 893-7055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 65193 CLIA FL Primary

Addresses

Primary practice location

813 E Michigan St
Orlando, FL 32806-4625

Mailing address

813 E Michigan St
Orlando, FL 32806-4625
Phone (407) 893-7055

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1053845On Site Medical Services Inc813 E Michigan St, Orlando, FL 32806Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Locations

813 E Michigan St
Orlando, FL 32806
Phone (407) 893-7055

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1174543466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064625",
            "telephone_number": "407-893-7055",
            "fax_number": "866-404-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064625",
            "telephone_number": "407-893-7055",
            "fax_number": "866-404-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON SITE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-893-7055"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "65193 CLIA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.