Putnam Clinical Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800008234 Issued in FL

Legal business name

PUTNAM CLINICAL LABORATORIES INC

Practice address

700 Zeagler Dr Ste 8
Palatka, FL 32177-3826

Phone

(386) 328-4036

Fax

(386) 328-7397

NPI assigned

Aug 8, 2006

Last updated

Feb 13, 2009By 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

Elio Madan, MD

Title

Owner

Phone

(386) 328-4036

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1336159979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR STE 8",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773826",
            "telephone_number": "386-328-4036",
            "fax_number": "386-328-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR STE 8",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773826",
            "telephone_number": "386-328-4036",
            "fax_number": "386-328-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM CLINICAL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "MADAN",
        "authorized_official_first_name": "ELIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-328-4036",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800008234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulido Internal Medicine
• Pulido Internal Medicine, LLC
• Putham Redicare
• Putnam Ambulatory Surgery Center LLC (Putnam Ambulatory Surgery Center)
• Putnam Caregivers
• Putnam Community Medical Center LLC
• Putnam Community Medical Center LLC
• Putnam Community Medical Center LLC (Putnam Community Medical Center)
• Putnam Community Medical Center LLC
• Putnam Community Medical Center of North Florida, LLC (HCA Florida Putnam Hospital)

• Clinical Medical Laboratory in Palatka, FL
• Providers in Palatka, 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 13, 2009; 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.