Florida Medical Stat Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

NOT ISSUED YET Issued in FL

Legal business name

FLORIDA MEDICAL STAT LABORATORY

Practice address

7660 N Nob Hill Rd
Tamarac, FL 33321-1843

Phone

(954) 933-2439

NPI assigned

Jun 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. David Stuart Gerren, BA,MS

Title

Laboratory Manager

Phone

(954) 933-2439

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mukhtar Raza

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
  • NPI 1538849039
  NPD

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1194010058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 N NOB HILL RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211843",
            "telephone_number": "954-933-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 N NOB HILL RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211843",
            "telephone_number": "954-933-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MEDICAL STAT LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "GERREN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "LABORATORY MANAGER",
        "authorized_official_telephone_number": "954-933-2439",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA,MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "NOT ISSUED YET",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FILE NUMBER FOR AHCA",
            "identifier": "269842100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Institute of Health LTD LLLP
• Florida Institute of Health LTD LLLP
• Florida Institute of Health LTD LLLP
• Florida Institute of Health, LTD LLLP
• Florida Institute of Health, LTD, LLLP
• Florida Vision Centers, Inc.
• Floridian Best Care PA
• Nelly Foeman
• Bridgette Marie Fong
• Sarah Fong, OD

• Clinical Medical Laboratory in Tamarac, FL
• Providers in Tamarac, 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 Jun 17, 2011; 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.