Organization Active NPI

Liberty Labs LLC

  • Clinical Medical Laboratory
  • Plantation, FL
National Provider Identifier
1407346604
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jan 15, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.