Superior Lab Inc

Primary specialty

ContractorTaxonomy code 171W00000X

License

P06000053366 Issued in FL

Legal business name

SUPERIOR LAB INC

Doing business as

Superior Lab Solutions

Practice address

4840 164TH Ave N
Clearwater, FL 33762-3231

Phone

(727) 492-0545

Fax

(727) 530-3513

NPI assigned

Oct 25, 2011

Last updated

Oct 25, 2011By 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

Mr. Edwin Ramos

Title

Owner

Phone

(727) 512-7206

Specialties & licenses 1

Addresses

Other names 1

• Superior Lab Solutions Doing business as

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1407132210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 164TH AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623231",
            "telephone_number": "727-492-0545",
            "fax_number": "727-530-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 164TH AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623231",
            "telephone_number": "727-492-0545",
            "fax_number": "727-530-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-512-7206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "P06000053366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Lab Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Contractor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.