Active NPI
East Coast Toxicology Laboratories, Inc.
- Clinical Medical Laboratory
- Pembroke Pines, FL
National Provider Identifier
1285952762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 10D2005687
- Legal business name
- EAST COAST TOXICOLOGY LABORATORIES, INC.
- Practice address
- 2225 N University Dr
Pembroke Pines, FL 33024-3611 - Phone
- (954) 249-0903
- NPI assigned
- May 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julie D Bruno, PSY.D
- Title
- President
- Phone
- (954) 249-0903
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 10D2005687 | FL | Primary |
Addresses
Primary practice location
2225 N University Dr
Pembroke Pines, FL 33024-3611
Mailing address
2225 N University Dr
Pembroke Pines, FL 33024-3611
Phone (954) 249-0903
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Hollywood, FL
- NPI 1659549954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273363200000",
"number": "1285952762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 N UNIVERSITY DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243611",
"telephone_number": "954-249-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 N UNIVERSITY DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243611",
"telephone_number": "954-249-0903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST COAST TOXICOLOGY LABORATORIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-09",
"last_updated": "2010-05-09",
"status": "A",
"authorized_official_last_name": "BRUNO",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-249-0903",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "10D2005687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Keilah Amber Dyer, APRN
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- Mohammed Ebrahim, MBCHB (MD)
- Anelyz Echemendia Ampudia
- Alexandra Echevarria
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.