PB Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800025714 Issued in FL

Legal business name

PB LABORATORIES LLC

Practice address

7451 S Military TRL
Lake Worth, FL 33463-7800

Phone

(561) 641-9024

Fax

(561) 641-9025

NPI assigned

Mar 9, 2010

Last updated

Mar 12, 2012By 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

Ms. Sharon Hollis

Title

Coo

Phone

(561) 855-1626

Specialties & licenses 1

Addresses

Other names 1

• Collectaway LLC Former legal business name

Locations

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1285957951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 S MILITARY TRL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637800",
            "telephone_number": "561-641-9024",
            "fax_number": "561-641-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 S MILITARY TRL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637800",
            "telephone_number": "561-641-9024",
            "fax_number": "561-641-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-855-1626",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800025714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collectaway LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Angeline Paul
• Breana Paul
• Kari Paul
• Duckens Paulin
• Pax Campus, LLC
• PB Medical Group LLC
• PB Medical LLC
• PBND Care Inc
• PBS
• PCC Medical Holdings LLC

• Clinical Medical Laboratory in Lake Worth, FL
• Providers in Lake Worth, 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 Mar 12, 2012; 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.