NPIMap

Organization Active NPI

Freedom House of Palm Beach Gardens, Inc

  • Clinical Medical Laboratory
  • Lake Park, FL
National Provider Identifier
1245653591
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FREEDOM HOUSE OF PALM BEACH GARDENS, INC
Practice address
1433 10TH St
Lake Park, FL 33403-2041
Phone
(954) 746-8232
Fax
(954) 746-8231
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Theresa Smith
Title
Billing Manager
Phone
(954) 746-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1433 10TH St
Lake Park, FL 33403-2041

Mailing address

1433 10TH St
Lake Park, FL 33403-2041
Phone (954) 746-8232

National Provider Directory

National Provider Directory
Tax ID family
Freedom House of Palm Beach Gardens2 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": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1245653591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 10TH ST",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032041",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 10TH ST",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032041",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOUSE OF PALM BEACH GARDENS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-746-8232"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.