Express Health Testing, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D2055438 Issued in FL

Legal business name

EXPRESS HEALTH TESTING, INC.

Practice address

6047 Kimberly Blvd
Suite Q
North Lauderdale, FL 33068-2828

Phone

(754) 779-3709

NPI assigned

Oct 15, 2013

Organization subpart

No

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

Authorized official

Name

Tangela Woods

Title

President

Phone

(754) 779-3709

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1326476144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 KIMBERLY BLVD",
            "address_2": "SUITE Q",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682828",
            "telephone_number": "754-779-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 KIMBERLY BLVD",
            "address_2": "SUITE Q",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682828",
            "telephone_number": "754-779-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS HEALTH TESTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "TANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-779-3709"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2055438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in North Lauderdale, FL
• Providers in North 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 Oct 15, 2013; 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.