Medicotest Miami LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDICOTEST MIAMI LLC

Practice address

1811 NE 123Rd St Ste B
North Miami, FL 33181-2805

Phone

(305) 392-0426

NPI assigned

May 21, 2018

Organization subpart

No

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

Authorized official

Name

Bogdan Constantinescu

Title

Owner

Phone

(786) 859-4223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1245721869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 NE 123RD ST STE B",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812805",
            "telephone_number": "305-392-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 NE 123RD ST STE B",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812805",
            "telephone_number": "305-392-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOTEST MIAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINESCU",
        "authorized_official_first_name": "BOGDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-859-4223"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in North Miami, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.