Organization Active NPI

Alliance Stat Labs LLC

  • Clinical Medical Laboratory
  • West Palm Beach, FL
National Provider Identifier
1417618315
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ALLIANCE STAT LABS LLC
Practice address
5303 S Dixie Hwy
West Palm Beach, FL 33405-3230
Phone
(800) 471-0846
Fax
(512) 532-0923
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Tyler Penrod
Title
Biller
Phone
(305) 900-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5303 S Dixie Hwy
West Palm Beach, FL 33405-3230

Mailing address

5303 S Dixie Hwy
West Palm Beach, FL 33405-3230
Phone (800) 471-0846

National Provider Directory

National Provider Directory

Locations

5303 S Dixie Hwy
West Palm Beach, FL 33405
Phone (800) 471-0846

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1417618315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 S DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334053230",
            "telephone_number": "800-471-0846",
            "fax_number": "512-532-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 S DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334053230",
            "telephone_number": "800-471-0846",
            "fax_number": "512-532-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE STAT LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "PENROD",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "305-900-4715"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.