National Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NATIONAL LABORATORIES, LLC

Practice address

1411 SE Ocean Avenue
Stuart, FL 34996

Phone

(772) 678-3927

Fax

(772) 266-9429

NPI assigned

Jan 23, 2014

Organization subpart

No

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

Authorized official

Name

Brendan Conlan

Title

Chief Operating Officer

Phone

(772) 872-6025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1417370651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SE OCEAN AVENUE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34996",
            "telephone_number": "772-678-3927",
            "fax_number": "772-266-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "CONLAN",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "772-872-6025"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.