NPIMap

Organization Active NPI

Medisupport Services LLC

  • Clinical Medical Laboratory
  • Ruskin, FL
National Provider Identifier
1184385023
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDISUPPORT SERVICES LLC
Practice address
1619 Climbing Dayflower Dr
Ruskin, FL 33570-4950
Phone
(813) 461-1624
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Monique Stevens
Title
Owner
Phone
(813) 461-1624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1619 Climbing Dayflower Dr
Ruskin, FL 33570-4950

Mailing address

1619 Climbing Dayflower Dr
Ruskin, FL 33570-4950
Phone (813) 461-1624

National Provider Directory

National Provider Directory
Tax ID family
Medisupport Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1184385023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 CLIMBING DAYFLOWER DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704950",
            "telephone_number": "813-461-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 CLIMBING DAYFLOWER DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704950",
            "telephone_number": "813-461-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-461-1624"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.