Organization Active NPI

Stone Pine Labs LLC

  • Clinical Medical Laboratory
  • Tampa, FL
National Provider Identifier
1386402121
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
STONE PINE LABS LLC
Practice address
4700 N Habana Ave Ste 501
Tampa, FL 33614-7120
Phone
(609) 977-0604
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Andrew Taylor Bright, PHD
Title
President
Phone
(609) 977-0604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4700 N Habana Ave Ste 501
Tampa, FL 33614-7120

Mailing address

4700 N Habana Ave Ste 501
Tampa, FL 33614-7120
Phone (609) 977-0604

Other names 1

  • Stone Pine Labs LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

4700 N Habana Ave
Ste 501
Tampa, FL 33614
Phone (609) 977-0604

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1386402121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE STE 501",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147120",
            "telephone_number": "609-977-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE STE 501",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147120",
            "telephone_number": "609-977-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE PINE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-977-0604",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Pine Labs LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.