Organization Active NPI

Diagnostic Labs of America LLC

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
National Provider Identifier
1346873338
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DIAGNOSTIC LABS OF AMERICA LLC
Practice address
3223 NW 10TH Ter Ste 606
Fort Lauderdale, FL 33309-5940
Phone
(561) 570-2203
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Miss Shannon Kollinger
Title
Billing
Phone
(561) 570-2203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3223 NW 10TH Ter Ste 606
Fort Lauderdale, FL 33309-5940

Mailing address

PO Box 22305
Fort Lauderdale, FL 33335-2305

National Provider Directory

National Provider Directory

Locations

3223 NW 10th Ter
Ste 606
Fort Lauderdale, FL 33309
Phone (561) 570-2203

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1346873338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333352305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 NW 10TH TER STE 606",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095940",
            "telephone_number": "561-570-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC LABS OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "KOLLINGER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "561-570-2203",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.