Active NPI
Lab Doctor
- Family Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1407210750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME52542
- Legal business name
- LAB DOCTOR
- Practice address
- 1425 SE 17TH St Ste a
Fort Lauderdale, FL 33316-1727 - Phone
- (954) 530-4447
- NPI assigned
- Apr 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iwona M Pikor
- Title
- Office Manager
- Phone
- (854) 822-6331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME52542 | FL | Primary |
Addresses
Primary practice location
1425 SE 17TH St Ste a
Fort Lauderdale, FL 33316-1727
Mailing address
1425 SE 17TH St Ste a
Fort Lauderdale, FL 33316-1727
National Provider Directory
National Provider DirectoryLocations
1425 SE 17th Street Cswy
Ste A
Ft Lauderdale, FL 33316
Phone (954) 486-1923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460419200000",
"number": "1407210750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 SE 17TH ST STE A",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 SE 17TH ST STE A",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161727",
"telephone_number": "954-530-4447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAB DOCTOR",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A",
"authorized_official_last_name": "PIKOR",
"authorized_official_first_name": "IWONA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "854-822-6331"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME52542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.