Excellent Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXCELLENT LABORATORIES INC

Doing business as

Selecta Laboratory

Practice address

7290 SW 42 Street
Miami, FL 33155

Phone

(305) 223-6601

Fax

(305) 223-6602

NPI assigned

Feb 5, 2014

Reactivated

Oct 30, 2018

Last updated

Oct 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mario Cuervo

Title

Ceo

Phone

(888) 747-7994

Specialties & licenses 1

Addresses

Other names 1

• Selecta Laboratory Doing business as

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1427472844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554506",
            "telephone_number": "305-223-6601",
            "fax_number": "305-223-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 SW 42 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-223-6601",
            "fax_number": "305-223-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2018-10-30",
        "deactivation_date": "2018-10-17",
        "reactivation_date": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "CUERVO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-747-7994"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Selecta Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Selecta Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Excellent Health Services Corp
• Excellent Health Solution Corp
• Excellent Home Health Care, Inc.
• Excellent Home Medical Equipment Corp. (Excellent Pharmacy and Discount)
• Excellent Home Services Corp
• Excellent Lifestyle Services Inc
• Excellent Medical Care Inc
• Excellent Medical Center LLC
• Excellent Pharmacy & Discount
• Excellent Rehab and Medical Center, Inc

• Clinical Medical Laboratory in Miami, FL
• Providers in Miami, 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 Oct 30, 2018; 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.