Active NPI
Insight Lab Services, LLC
- Clinical Medical Laboratory
- Davie, FL
National Provider Identifier
1366957037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- INSIGHT LAB SERVICES, LLC
- Practice address
- 4111 SW 47TH Ave Ste 335
Davie, FL 33314-4039 - Phone
- (786) 373-8899
- NPI assigned
- Dec 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Ganz, DO
- Title
- Laboratory Director
- Phone
- (305) 542-9376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4111 SW 47TH Ave Ste 335
Davie, FL 33314-4039
Mailing address
4111 SW 47TH Ave Ste 335
Davie, FL 33314-4039
Phone (786) 373-8899
National Provider Directory
National Provider DirectoryLocations
4111 SW 47th Ave
Ste 335
Davie, FL 33314
Phone (786) 373-8899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512345600000",
"number": "1366957037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 SW 47TH AVE STE 335",
"city": "DAVIE",
"state": "FL",
"postal_code": "333144039",
"telephone_number": "786-373-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 SW 47TH AVE STE 335",
"city": "DAVIE",
"state": "FL",
"postal_code": "333144039",
"telephone_number": "786-373-8899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT LAB SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-04",
"last_updated": "2017-12-04",
"status": "A",
"authorized_official_last_name": "GANZ",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "305-542-9376",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.