Organization Active NPI

Trident Laboratories Inc

  • Clinical Medical Laboratory
  • Hollywood, FL
National Provider Identifier
1306160585
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Mar 17, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.