Beit Hatikvah, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D2016961 Issued in FL

Legal business name

BEIT HATIKVAH, LLC

Practice address

3910 Rca Blvd
Suite 1015
Palm Beach Gardens, FL 33410-4284

Phone

(561) 899-4388

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Gary M Williamas

Title

Ceo

Phone

(561) 899-4388

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1417254269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 RCA BLVD",
            "address_2": "SUITE 1015",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104284",
            "telephone_number": "561-899-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 RCA BLVD",
            "address_2": "SUITE 1015",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104284",
            "telephone_number": "561-899-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEIT HATIKVAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMAS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-899-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2016961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA - CERTIFICATE OF WAIVER",
            "identifier": "10D2016961",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jody L Bell, LMHC

• Clinical Medical Laboratory in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, 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 Feb 14, 2011; 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.