Genlab Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

14D1082277 Issued in IL

Legal business name

GENLAB CORPORATION

Doing business as

E-Lab of Florida

Practice address

1417 SE 1St Ave
Fort Lauderdale, FL 33316-1805

Phone

(954) 530-8332

Fax

(954) 533-7605

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Alejandro Pabriaga

Title

Cfo

Phone

(725) 777-8066

Specialties & licenses 1

Addresses

Other names 1

• E-LAB OF FLORIDA Doing business as

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1285160887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161805",
            "telephone_number": "954-530-8332",
            "fax_number": "954-533-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161805",
            "telephone_number": "954-530-8332",
            "fax_number": "954-533-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENLAB CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "PABRIAGA",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "725-777-8066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D1082277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E-LAB OF FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 May 3, 2017; 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.