Medical Tox Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800027605 Issued in FL

Legal business name

MEDICAL TOX LABS, LLC

Practice address

3450 E Fletcher Ave
Suite 230
Tampa, FL 33613-4655

Phone

(813) 769-8810

Fax

(813) 870-1383

NPI assigned

Oct 2, 2015

Organization subpart

Yes

Parent organization

MEDICAL TOX LABS, LLCAs reported in NPPES

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

Authorized official

Name

Rodolfo Gari, M.D.

Title

Authorized Official

Phone

(813) 549-2134

Specialties & licenses 1

Addresses

Other names 1

• Wellmed Labs Doing business as

Part of

Medical Tox Labs LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medical Tox Labs, LLC

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1285045153
  NPPES parent name

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1285004283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE",
            "address_2": "SUITE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147163",
            "telephone_number": "813-549-2134",
            "fax_number": "813-870-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E FLETCHER AVE",
            "address_2": "SUITE 230",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134655",
            "telephone_number": "813-769-8810",
            "fax_number": "813-870-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TOX LABS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL TOX LABS, LLC",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "GARI",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "813-549-2134",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800027605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellmed Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Personnels Services Inc.
• Medical Quality Research Alliance Inc
• Medical Specialists of Tampa Bay
• Medical Therapy Associates
• Medical Therapy Practitioner, Inc
• Medical Tox Labs, LLC
• Medicare Solutions and Legacy Planning LLC
• Medicascripts Pharmacy
• Medicor Healthcare, Inc
• Medicor Healthcare, Inc

• Clinical Medical Laboratory in Tampa, FL
• Providers in Tampa, 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 Oct 2, 2015; 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.