Florida Clinical Lab,Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800017966 Issued in FL

Legal business name

FLORIDA CLINICAL LAB,INC

Practice address

27 E Hibiscus Blvd
Melbourne, FL 32901-3171

Phone

(321) 308-0868

Fax

(321) 308-0873

NPI assigned

Feb 1, 2006

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Deligdish, MDNPI 1679564462

Title

Board Member

Phone

(321) 727-3495

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Kenneth Deligdish, MD

  • Hematology & Oncology Physician
  • Melbourne, FL
  • NPI 1679564462
  NPD (past) Authorized official

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1386615730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013171",
            "telephone_number": "321-308-0868",
            "fax_number": "321-308-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013171",
            "telephone_number": "321-308-0868",
            "fax_number": "321-308-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CLINICAL LAB,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DELIGDISH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "321-727-3495",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800017966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "L9236",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500004100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "690009481",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Adult Care
• Florida Adult Care LLC (SarahCare of Melbourne)
• Florida Assisted Living Homes LLC
• Florida Atlantic Coast Treatment Solutions LLC
• Florida Autism Center
• Florida Clinical Laboratory, Inc (BioReference Health, LLC)
• Florida Dental Sleep Disorders, P.a.
• Florida Dermatology Plastic Surgery LLC
• Florida Digestive and Liver Specialists PA
• Florida East Coast Health Services, LLC

• Clinical Medical Laboratory in Melbourne, FL
• Providers in Melbourne, 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 May 21, 2008; 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.