Crestar Labs FL LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800027923 Issued in FL

Legal business name

CRESTAR LABS FL LLC

Practice address

4714 Ayron Terrace
Palm Harbor, FL 34685

Phone

(727) 418-2567

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Lomonico, NHA

Title

Ceo

Phone

(727) 418-2567

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366965063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 AYRON TER",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346854011",
            "telephone_number": "727-418-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 AYRON TERRACE",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34685",
            "telephone_number": "727-418-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTAR LABS FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOMONICO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-418-2567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800027923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Cox
• Katie Craigie
• Sherri L. Crawford, ARNP
• Krista Anne Creed
• Rae Ann Hoolihan Cregan, R.N.
• Debra R. Crisp, PH.D.
• Cristobal R. Rosario M.D., P.a.
• Lindsey Ann Crnalic, DMD
• Alejandra Cuellar Gonzalez
• Curtis George Jr (George Place)

• Clinical Medical Laboratory in Palm Harbor, FL
• Providers in Palm Harbor, 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 21, 2022; 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.