Organization Active NPI

Eagle Toxicology, LLC

  • Clinical Medical Laboratory
  • Jupiter, FL
National Provider Identifier
1407221336
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EAGLE TOXICOLOGY, LLC
Practice address
555 Heritage Dr Ste 120
Jupiter, FL 33458-5286
Phone
(561) 508-3101
NPI assigned
Dec 3, 2015
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Mr. Nicholas D. Incognito Sr.
Title
Manager
Phone
(201) 923-8992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

555 Heritage Dr Ste 120
Jupiter, FL 33458-5286

Mailing address

7138 Hawks Nest Ter
Riviera Beach, FL 33407-1126
Phone (201) 923-8992

National Provider Directory

National Provider Directory

Locations

555 Heritage Dr
Ste 120
Jupiter, FL 33458
Phone (561) 508-3101

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1407221336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 HAWKS NEST TER",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334071126",
            "telephone_number": "201-923-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HERITAGE DR STE 120",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585286",
            "telephone_number": "561-508-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE TOXICOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "INCOGNITO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-923-8992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.