Organization Active NPI

Dexters Lab Inc

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1356719165
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEXTERS LAB INC
Practice address
11018 Harbor Cay CT
Jacksonville, FL 32225-4043
Phone
(904) 642-7516
NPI assigned
Sep 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Ron Poindexter
Title
President
Phone
(904) 642-7516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11018 Harbor Cay CT
Jacksonville, FL 32225-4043

Mailing address

11018 Harbor Cay CT
Jacksonville, FL 32225-4043
Phone (904) 642-7516

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1356719165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11018 HARBOR CAY CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254043",
            "telephone_number": "904-642-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11018 HARBOR CAY CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254043",
            "telephone_number": "904-642-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTERS LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "POINDEXTER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-642-7516"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.