Organization Active NPI

Labsure LLC

  • Clinical Medical Laboratory
  • Pompano Beach, FL
National Provider Identifier
1396157608
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D2066186 Issued in FL
Legal business name
LABSURE LLC
Practice address
150 E Sample Rd Ste 120
Pompano Beach, FL 33064-3550
Phone
(954) 320-4360
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Raymond J Diiulio
Title
Ceo
Phone
(954) 320-4360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D2066186 FL Primary

Addresses

Primary practice location

150 E Sample Rd Ste 120
Pompano Beach, FL 33064-3550

Mailing address

150 E Sample Rd Ste 120
Pompano Beach, FL 33064-3550

National Provider Directory

National Provider Directory
Tax ID family
Labsure LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 E Sample Rd
Ste 120
Pompano Beach, FL 33064
Phone (954) 320-4360

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1396157608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SAMPLE RD STE 120",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SAMPLE RD STE 120",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643550",
            "telephone_number": "954-320-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABSURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "DIIULIO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-320-4360"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2066186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.