Titan Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TITAN LABORATORIES INC

Practice address

6560 W Rogers Cir Ste 24
Boca Raton, FL 33487-2746

Phone

(561) 923-8901

NPI assigned

Sep 21, 2021

Last updated

Sep 21, 2021By 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

Sue D Kincer

Title

Administrator

Phone

(813) 928-7939

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1467123323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 W ROGERS CIR STE 24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872746",
            "telephone_number": "561-923-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 W ROGERS CIR STE 24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872746",
            "telephone_number": "561-923-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "KINCER",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-928-7939"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.titanlaboratories.com",
            "affiliation": "N",
            "address_1": "6560 W Rogers Cir Ste 24",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334872746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.