Organization Active NPI

East Coast Toxicology Laboratories, Inc.

  • Clinical Medical Laboratory
  • Pembroke Pines, FL
National Provider Identifier
1285952762
Registry record updated May 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D2005687 Issued in FL
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

Updated by the provider on May 9, 2010

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

Authorized official

Name
Dr. Julie D Bruno, PSY.DNPI 1659549954
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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": []
}

Other providers in Pembroke Pines, FL

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.

Verify at the official NPI Registry.