Oracle Reference Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ORACLE REFERENCE LABS LLC

Practice address

11350 SW Village Pkwy Ste 326
Port St Lucie, FL 34987-2352

Phone

(772) 340-6029

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Mitchell Perlstein, JD

Title

Cfo

Phone

(772) 340-6029

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1174997902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 SW VILLAGE PKWY STE 326",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872352",
            "telephone_number": "772-340-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 SW VILLAGE PKWY STE 326",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872352",
            "telephone_number": "772-340-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORACLE REFERENCE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "PERLSTEIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "772-340-6029",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Port St Lucie, FL
• Providers in Port St Lucie, 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 Aug 19, 2016; 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.