All American Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800028201 Issued in FL

Legal business name

ALL AMERICAN LABS LLC

Practice address

1701 Green Rd
Suite a-2
Pompano Beach, FL 33064-1074

Phone

(754) 220-5017

Fax

(561) 576-0632

NPI assigned

Jul 25, 2016

Last updated

Jul 25, 2016By 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

Keith Gill

Title

Business Associate

Phone

(561) 576-0624

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1346793460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 GREEN RD",
            "address_2": "SUITE A-2",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330641074",
            "telephone_number": "754-220-5017",
            "fax_number": "561-576-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GREEN RD",
            "address_2": "SUITE A-2",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330641074",
            "telephone_number": "754-220-5017",
            "fax_number": "561-576-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL AMERICAN LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "BUSINESS ASSOCIATE",
        "authorized_official_telephone_number": "561-576-0624"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800028201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA CLINICAL LABORATORY LICENSE",
            "identifier": "800028201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA CLINICAL LABORATORY LICENSE",
            "identifier": "104849",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Pompano Beach, FL
• Providers in Pompano Beach, 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 Jul 25, 2016; 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.