Organization Active NPI

Cotg 2021

Doing business as Covid on the Go

  • Clinical Medical Laboratory
  • Melbourne, FL
National Provider Identifier
1396326807
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COTG 2021
Doing business as
Covid on the Go
Practice address
1385 Cypress Ave Unit 104
Melbourne, FL 32935-5919
Phone
(321) 327-7481
Fax
(888) 453-1715
NPI assigned
Apr 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Felicia Prince
Title
Director
Phone
(321) 327-7481

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X
Community Health Clinic/Center 261QC1500X
Occupational Medicine Clinic/Center 261QX0100X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1385 Cypress Ave Unit 104
Melbourne, FL 32935-5919

Mailing address

1220 Prospect Ave Ste 294
Melbourne, FL 32901-7300
Phone (772) 300-6531

Other practice location 1

1220 Prospect Ave Ste 294
Melbourne, FL 32901-7300
Phone (772) 300-6531

Other names 1

  • COVID ON THE GO Doing business as

National Provider Directory

National Provider Directory

Locations

1385 Cypress Ave
Unit 104
Melbourne, FL 32935
Phone (321) 327-7481

1220 Prospect Ave
Ste 294
Melbourne, FL 32901
Phone (772) 300-6531

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1396326807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 PROSPECT AVE STE 294",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017300",
            "telephone_number": "772-300-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 CYPRESS AVE UNIT 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355919",
            "telephone_number": "321-327-7481",
            "fax_number": "888-453-1715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Prospect Ave Ste 294",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329017300",
            "country_code": "US",
            "telephone_number": "772-300-6531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COTG 2021",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-327-7481"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVID ON THE GO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.