Em1 Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EM1 LABS, LLC

Practice address

3115 NW 10TH Ter Ste 108
Fort Lauderdale, FL 33309-5937

Phone

(561) 223-3269

NPI assigned

Sep 16, 2014

Last updated

Jun 16, 2018By 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

Angelo Skulas

Title

Owner (Cfo)

Phone

(954) 380-8488

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1346641875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 NW 10TH TER STE 108",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095937",
            "telephone_number": "561-223-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 NW 10TH TER STE 108",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095937",
            "telephone_number": "561-223-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EM1 LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SKULAS",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER (CFO)",
        "authorized_official_telephone_number": "954-380-8488"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2079549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019446800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.