Divine Lab and Fingerprinting , LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DIVINE LAB AND FINGERPRINTING , LLC

Doing business as

Divine Lab and Fingerprinting , LLC
Majestic Sunshine Care , LLC

Practice address

6067 Hollywood Blvd Ste 325
Pembroke Pines, FL 33024-7891

Phone

(954) 998-0880

Fax

(954) 416-6818

NPI assigned

Aug 30, 2024

Last updated

Aug 30, 2024By 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

Felecia Kerry-Ann Woolcock

Title

Diector

Phone

(954) 998-0880

Specialties & licenses 1

Addresses

Other names 2

• Divine Lab and Fingerprinting , LLC Doing business as
• Majestic Sunshine Care , LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1326872326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6067 HOLLYWOOD BLVD STE 325",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247891",
            "telephone_number": "954-998-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 HOLLYWOOD BLVD STE 325",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247891",
            "telephone_number": "954-998-0880",
            "fax_number": "954-416-6818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17801 NW 2nd Ave Fl 33169",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "331695029",
            "country_code": "US",
            "telephone_number": "954-998-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVINE LAB AND FINGERPRINTING , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "WOOLCOCK",
        "authorized_official_first_name": "FELECIA",
        "authorized_official_middle_name": "KERRY-ANN",
        "authorized_official_title_or_position": "DIECTOR",
        "authorized_official_telephone_number": "954-998-0880"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Lab and Fingerprinting , LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Majestic Sunshine Care , LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.