Insyte Biomed LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INSYTE BIOMED LLC

Practice address

912 Kingsridge Cir
Gotha, FL 34734-4715

Phone

(407) 454-1418

Fax

(407) 454-1418

NPI assigned

May 22, 2023

Last updated

Aug 23, 2023By 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

Mrs. Fabiola Graciela Marchena

Title

General Manager

Phone

(407) 454-1418

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1285326934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 KINGSRIDGE CIR",
            "city": "GOTHA",
            "state": "FL",
            "postal_code": "347344715",
            "telephone_number": "407-454-1418",
            "fax_number": "407-454-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 KINGSRIDGE CIR",
            "city": "GOTHA",
            "state": "FL",
            "postal_code": "347344715",
            "telephone_number": "407-454-1418",
            "fax_number": "407-454-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSYTE BIOMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "MARCHENA",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_middle_name": "GRACIELA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "407-454-1418",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Gotha, FL
• Providers in Gotha, 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 Aug 23, 2023; 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.