Cmlab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800020862 Issued in FL

Legal business name

CMLAB INC

Practice address

20861 Johnson Street
Suite 117-118
Pembroke Pines, FL 33029

Phone

(954) 704-9116

Fax

(954) 704-8823

NPI assigned

Aug 17, 2006

Last updated

Jul 15, 2015By 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

Mrs. Martha C Orozco, MT

Title

Medical Technologist Supervisor VP

Phone

(954) 704-9116

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1356454755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20861 JOHNSON ST",
            "address_2": "SUITE 117-118",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291926",
            "telephone_number": "954-704-9116",
            "fax_number": "954-704-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20861 JOHNSON STREET",
            "address_2": "SUITE 117-118",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-704-9116",
            "fax_number": "954-704-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMLAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "OROZCO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST SUPERVISOR VP",
        "authorized_official_telephone_number": "954-704-9116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800020862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031285100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 15, 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.