Atlantic Biotech, LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D2087683 Issued in FL

Legal business name

ATLANTIC BIOTECH, LLC.

Practice address

1501 Green Rd
Suite a
Pompano Beach, FL 33064-1077

Phone

(754) 222-5150

Fax

(954) 482-0125

NPI assigned

Jan 23, 2015

Last updated

Jan 23, 2015By 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

Goran Jandjel

Title

C.O.O.

Phone

(754) 222-5150

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1407246887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 GREEN RD",
            "address_2": "SUITE A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330641077",
            "telephone_number": "754-222-5150",
            "fax_number": "954-482-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 GREEN RD",
            "address_2": "SUITE A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330641077",
            "telephone_number": "754-222-5150",
            "fax_number": "954-482-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC BIOTECH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "JANDJEL",
        "authorized_official_first_name": "GORAN",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "754-222-5150"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2087683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2087683",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.