Organization Active NPI

Lab Doctor

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1407210750
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME52542 Issued in FL
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

Updated by the provider on Apr 12, 2016

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.