Organization Active NPI

E-Lab of Florida Inc.

  • Clinical Medical Laboratory
  • Hollywood, FL
National Provider Identifier
1427595354
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
E-LAB OF FLORIDA INC.
Practice address
6100 Hollywood Blvd
Suite 306
Hollywood, FL 33024-7982
Phone
(954) 530-8332
Fax
(954) 533-7605
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Dr. Amit Kamra, M.D.
Title
President
Phone
(215) 435-4773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6100 Hollywood Blvd
Suite 306
Hollywood, FL 33024-7982

Mailing address

6100 Hollywood Blvd
Suite 306
Hollywood, FL 33024-7982
Phone (954) 530-8332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171016001906 FL Part B Supplier - Independent Clinical Laboratory 6305112517 Practice locations: Pembroke Pines, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1101505Genesiscare USA of Florida, LLC6100 Hollywood Blvd Ste 105, Hollywood, FL 33024Certificate of waiverJun 28, 2027
10D2126070E-Lab of Florida6100 Hollywood Blvd Ste 306, Hollywood, FL 33024AccreditationNov 19, 2026

National Provider Directory

National Provider Directory

Locations

6100 Hollywood Blvd
Ste 306
Pembroke Pines, FL 33024
Phone (954) 530-8332

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1427595354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD",
            "address_2": "SUITE 306",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247982",
            "telephone_number": "954-530-8332",
            "fax_number": "954-533-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD",
            "address_2": "SUITE 306",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247982",
            "telephone_number": "954-530-8332",
            "fax_number": "954-533-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-LAB OF FLORIDA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "KAMRA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-435-4773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.