Active NPI
Trident Laboratories Inc
- Clinical Medical Laboratory
- Hollywood, FL
National Provider Identifier
1306160585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- TRIDENT LABORATORIES INC
- Practice address
- 6011 Rodman St
Suite 107
Hollywood, FL 33023-1854 - Phone
- (954) 322-8080
- Fax
- (954) 322-8080
- NPI assigned
- Mar 17, 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
- Michele M Steegstra
- Title
- President
- Phone
- (954) 322-8080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
6011 Rodman St
Suite 107
Hollywood, FL 33023-1854
Mailing address
6011 Rodman St
Suite 107
Hollywood, FL 33023-1854
Phone (954) 322-8080
National Provider Directory
National Provider DirectoryLocations
6011 Rodman St
Ste 107
Hollywood, FL 33023
Phone (954) 322-8080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268784000000",
"number": "1306160585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6011 RODMAN ST",
"address_2": "SUITE 107",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330231854",
"telephone_number": "954-322-8080",
"fax_number": "954-322-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6011 RODMAN ST",
"address_2": "SUITE 107",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330231854",
"telephone_number": "954-322-8080",
"fax_number": "954-322-8080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIDENT LABORATORIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-17",
"last_updated": "2010-03-17",
"status": "A",
"authorized_official_last_name": "STEEGSTRA",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-322-8080"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.