Organization Active NPI

Spector Scientific Lab Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Deerfield Beach, FL
National Provider Identifier
1215390422
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
SPECTOR SCIENTIFIC LAB INC.
Practice address
160 SW 12TH Ave Ste 103B
Deerfield Beach, FL 33442-3114
Phone
(561) 507-0522
Fax
(561) 431-2922
NPI assigned
Apr 4, 2016
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Anna Dzeva
Title
President
Phone
(561) 507-0522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

160 SW 12TH Ave Ste 103B
Deerfield Beach, FL 33442-3114

Mailing address

160 SW 12TH Ave Ste 103B
Deerfield Beach, FL 33442-3114
Phone (561) 507-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170525002723 FL Part B Supplier - Independent Clinical Laboratory 5698042455 Practice locations: Deerfield Beach, FL

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
10D2113843Spector Scientific Lab160 SW 12TH Ave Unit 103B, Deerfield Beach, FL 33442AccreditationOct 4, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1215390422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SW 12TH AVE STE 103B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423114",
            "telephone_number": "561-507-0522",
            "fax_number": "561-431-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SW 12TH AVE STE 103B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423114",
            "telephone_number": "561-507-0522",
            "fax_number": "561-431-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTOR SCIENTIFIC LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "DZEVA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-507-0522"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.