Integra Lab Management LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D2089972 Issued in FL

Legal business name

INTEGRA LAB MANAGEMENT LLC

Practice address

1001 Jupiter Park Drive,
# 117
Jupiter, FL 33458

Phone

(561) 935-3035

Fax

(561) 935-3036

NPI assigned

Nov 3, 2014

Organization subpart

No

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

Authorized official

Name

Thomas Hughes

Title

Ceo

Phone

(561) 935-3035

Specialties & licenses 1

Addresses

Other names 1

• Integra Lab Solutions Doing business as

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1346645330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 JUPITER PARK DR",
            "address_2": "#117",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586002",
            "telephone_number": "561-935-3035",
            "fax_number": "561-935-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 JUPITER PARK DRIVE,",
            "address_2": "# 117",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-935-3035",
            "fax_number": "561-935-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA LAB MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-935-3035"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2089972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integra Lab Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Jupiter, FL
• Providers in Jupiter, 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 Sep 28, 2015; 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.