Treasure Coast Diagnostic Laboratory Incorporated

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TREASURE COAST DIAGNOSTIC LABORATORY INCORPORATED

Practice address

142 NW Swann Mill Cir
Port Saint Lucie, FL 34986-3592

Phone

(772) 773-0935

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By 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

Mr. Rondy Louissaint

Title

Ceo

Phone

(772) 773-0935

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1467146324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880245",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349880245",
            "telephone_number": "772-773-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 NW SWANN MILL CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863592",
            "telephone_number": "772-773-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST DIAGNOSTIC LABORATORY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "LOUISSAINT",
        "authorized_official_first_name": "RONDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-773-0935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meghan Trice

• Clinical Medical Laboratory in Port Saint Lucie, FL
• Providers in Port Saint Lucie, 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 Jun 5, 2023; 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.