New River Medical Group LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEW RIVER MEDICAL GROUP LLC

Practice address

800 NE 62ND St
Suite 204
Fort Lauderdale, FL 33334-3522

Phone

(954) 771-8903

Fax

(954) 771-8905

NPI assigned

Sep 3, 2009

Last updated

Nov 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Wesley Shelton

Title

Ceo

Phone

(954) 566-1330

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Chester, PHD

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
  • NPI 1902064207
  NPD (past)
• Robb Elliott Wilentz, MD

  • Dermatopathology (Pathology) Physician
  • Aventura, FL
  • NPI 1033115209
  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1235362427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NE 62ND ST",
            "address_2": "SUITE 204",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333343522",
            "telephone_number": "954-771-8903",
            "fax_number": "954-771-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE 62ND ST",
            "address_2": "SUITE 204",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333343522",
            "telephone_number": "954-771-8903",
            "fax_number": "954-771-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-566-1330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New Life Chiropractic Club LLC
• New Movement Medical Supplies LLC
• New River Medexpress, PLLC
• New Roads Florida LLC
• New York Medical Center
• Autumn Noel Newby
• Joyce Elizabeth Newcomb, PHD RN
• Newman Healthcare Mobile Lab Services LLC

• Clinical Medical Laboratory in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Nov 22, 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.