Active NPI
Liberty Labs LLC
- Clinical Medical Laboratory
- Plantation, FL
National Provider Identifier
1407346604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LIBERTY LABS LLC
- Practice address
- 1700 NW 65TH Ave Ste 13
Plantation, FL 33313-4558 - Phone
- (954) 900-2285
- NPI assigned
- May 14, 2018
- 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
- Phily Giorgianni, CEO
- Title
- Ceo
- Phone
- (954) 200-2053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1700 NW 65TH Ave Ste 13
Plantation, FL 33313-4558
Mailing address
1700 NW 65TH Ave Ste 13
Plantation, FL 33313-4558
Phone (954) 900-2285
National Provider Directory
National Provider DirectoryLocations
450 Fairway Dr
Ste 101
Deerfield Beach, FL 33441
Phone (281) 409-2522
1700 NW 65th Ave
Ste 13
Plantation, FL 33313
Phone (954) 900-2285
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Miami, FL
- NPI 1730524307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610668800000",
"number": "1407346604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NW 65TH AVE STE 13",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333134558",
"telephone_number": "954-900-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NW 65TH AVE STE 13",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333134558",
"telephone_number": "954-900-2285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-14",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A",
"authorized_official_last_name": "GIORGIANNI",
"authorized_official_first_name": "PHILY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-200-2053",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.