Fulcrum Clinical Laboratories, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FULCRUM CLINICAL LABORATORIES, INC

Practice address

13650 W Colonial Drive
Suite 170
Winter Garden, FL 34787-3429

Phone

(407) 809-5845

Fax

(407) 809-5846

NPI assigned

Jan 8, 2011

Organization subpart

No

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

Authorized official

Name

Ryan Cummins

Title

President

Phone

(407) 809-5845

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1396049102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 W COLONIAL DRIVE",
            "address_2": "SUITE 170",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873924",
            "telephone_number": "407-809-5845",
            "fax_number": "407-809-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 W COLONIAL DRIVE",
            "address_2": "SUITE 170",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873429",
            "telephone_number": "407-809-5845",
            "fax_number": "407-809-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULCRUM CLINICAL LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-08",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-809-5845"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliano Freitas, PHD
• Nicole Helene Fretwell, PHARMD
• Friends With Love Home Care Services LLC
• Carey Theresa Fromberg
• Anthony Serop Froyan
• Fully Alive Homecare LLC
• FWC Perinatal, LLC
• Tabitha Larrine Gadson
• Gabriela Danielle Gagno, PA
• Alexander Elliot Galante, M.D.

• Clinical Medical Laboratory in Winter Garden, FL
• Providers in Winter Garden, 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 31, 2016; 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.