Florida Clinical Laboratory, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLIA 10D1003031 Issued in FL

Legal business name

FLORIDA CLINICAL LABORATORY, INC

Doing business as

BioReference Health, LLC

Practice address

27 E Hibiscus Blvd
Melbourne, FL 32901-3114

Phone

(800) 229-5227

Fax

(321) 308-0868

NPI assigned

Aug 21, 2006

Last updated

Mar 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BIOREFERENCE HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Michael Schmid

Title

SVP, Chief Financial Officer

Phone

(201) 791-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BioReference Health, LLC Doing business as

Part of

Cytology Pathology Asso

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Bioreference Health, LLC

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1609148782

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1417062076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 EDWARD H ROSS DR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073118",
            "telephone_number": "800-229-5227",
            "fax_number": "201-791-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013114",
            "telephone_number": "800-229-5227",
            "fax_number": "321-308-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CLINICAL LABORATORY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIOREFERENCE HEALTH, LLC",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-03-26",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "SCHMID",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP,  CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "201-791-2600"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "CLIA   10D1003031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009682500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioReference Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BioReference Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florida Adult Care LLC (SarahCare of Melbourne)
• Florida Assisted Living Homes LLC
• Florida Atlantic Coast Treatment Solutions LLC
• Florida Autism Center
• Florida Clinical Lab,Inc
• Florida Dental Sleep Disorders, P.a.
• Florida Dermatology Plastic Surgery LLC
• Florida Digestive and Liver Specialists PA
• Florida East Coast Health Services, LLC
• Florida Eye Associates Inc

• Clinical Medical Laboratory in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.