Organization Active NPI

Lookadoo Skyline Laboratory Inc

  • Clinical Medical Laboratory
  • Port St Lucie, FL
National Provider Identifier
1205890522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LOOKADOO SKYLINE LABORATORY INC
Practice address
1801 SE Hillmoor Dr
Suite C-101
Port St Lucie, FL 34952-7553
Phone
(772) 337-4504
Fax
(772) 335-8983
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. J.D. Lookadoo, M.T. LAB DIRECTOR
Title
Laboratory Director
Phone
(772) 337-4504

Specialties & licenses 1

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

Addresses

Primary practice location

1801 SE Hillmoor Dr
Suite C-101
Port St Lucie, FL 34952-7553

Mailing address

1801 SE Hillmoor Dr
Suite C-101
Port St Lucie, FL 34952-7553
Phone (772) 337-4504

National Provider Directory

National Provider Directory

Locations

682 NE Jensen Beach Blvd
Jensen Beach, FL 34957

1801 SE Hillmoor Dr
Ste C-101
Port St Lucie, FL 34952
Phone (772) 204-2895

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205890522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "address_2": "SUITE C-101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-337-4504",
            "fax_number": "772-335-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "address_2": "SUITE C-101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-337-4504",
            "fax_number": "772-335-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKADOO SKYLINE LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOOKADOO",
        "authorized_official_first_name": "J.D.",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "772-337-4504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.T. LAB DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.