Gravity X LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GRAVITY X LLC

Practice address

3045 N Federal Hwy Ste 60G
Fort Lauderdale, FL 33306-1415

Phone

(561) 846-0303

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Martin M Antonov

Title

Laboratory Director

Phone

(561) 846-0303

Specialties & licenses 1

Addresses

Other names 1

• Gravity X LLC Doing business as

Locations

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1316538176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 N FEDERAL HWY STE 60G",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061415",
            "telephone_number": "561-846-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 N FEDERAL HWY STE 60G",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061415",
            "telephone_number": "561-846-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVITY X LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2020-12-19",
        "status": "A",
        "authorized_official_last_name": "ANTONOV",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "561-846-0303"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gravity X LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Rosita Grant, LCSW
• Marvel Lucretia Grant
• Nancy Elena Grant, LMHC
• Grateful Guidance LLC
• Marie J Gravel Solano, PA-C
• Angelis Gray
• Christopher David Gray, LAT, ATC
• James Lance Gray
• John Tobias Gray, PA-C
• Veniece Gray, APRN-FNP

• Clinical Medical Laboratory in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Feb 3, 2021; 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.