Infiniti Labs, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800026057 Issued in FL

Legal business name

INFINITI LABS, INC

Practice address

6015 Benjamin Rd
Suite 315
Tampa, FL 33634-5179

Phone

(813) 453-2611

NPI assigned

Jan 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Greg Keith Nelson

Title

President

Phone

(813) 886-2616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1356645295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 BENJAMIN RD",
            "address_2": "SUITE 315",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345179",
            "telephone_number": "813-886-2616",
            "fax_number": "813-886-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 BENJAMIN RD",
            "address_2": "SUITE 315",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345179",
            "telephone_number": "813-453-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITI LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-886-2616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800026057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Tampa, FL
• Providers in Tampa, 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 Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.