Organization Active NPI

Newbridge Medical Group LLC

  • Clinical Medical Laboratory
  • Winter Park, FL
National Provider Identifier
1376967380
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800028600 Issued in FL
Legal business name
NEWBRIDGE MEDICAL GROUP LLC
Practice address
1801 Lee Rd Ste 175
Winter Park, FL 32789-2167
Phone
(407) 644-1500
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Authorized official

Name
Arthur Wright
Title
Ceo
Phone
(407) 644-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800028600 FL Primary

Addresses

Primary practice location

1801 Lee Rd Ste 175
Winter Park, FL 32789-2167

Mailing address

1801 Lee Rd Ste 115
Winter Park, FL 32789-2163

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2021038Adventhealth Medical Group Pediatrics Diabetes &1801 Lee Road Suite 170, Winter Park, FL 32789Certificate of waiverMar 3, 2027
10D2269453Adventhealth Medical Group Pediatric Diabetes &1801 Lee Rd Suite 306, Winter Park, FL 32789Certificate of waiverSep 26, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1376967380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LEE RD STE 115",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LEE RD STE 175",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892167",
            "telephone_number": "407-644-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBRIDGE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-644-1500"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800028600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.