Organization Active NPI

Physicians Lab, Inc.

  • Clinical Medical Laboratory
  • Boca Raton, FL
National Provider Identifier
1477811503
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D2036071 Issued in FL
Legal business name
PHYSICIANS LAB, INC.
Practice address
4850 T Rex Ave Ste 150
Boca Raton, FL 33431-4443
Phone
(877) 316-8686
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Eva J Friscia
Title
Business Operations Manager
Phone
(561) 972-9553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D2036071 FL Primary

Addresses

Primary practice location

4850 T Rex Ave Ste 150
Boca Raton, FL 33431-4443

Mailing address

4850 T Rex Ave Ste 150
Boca Raton, FL 33431-4443
Phone (800) 525-4052

Other practice location 1

4950 Communication Ave
Suite 250
Boca Raton, FL 33431-3307
Phone (561) 972-9552

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
10D2147002Physicians Lab Inc4850 T-Rex Ave, Boca Raton, FL 33431AccreditationJun 12, 2028

National Provider Directory

National Provider Directory

Locations

4950 Communication Ave
Ste 250
Boca Raton, FL 33431
Phone (561) 319-7907

4850 T Rex Ave
Ste 150
Boca Raton, FL 33431
Phone (561) 414-8979

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1477811503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 T REX AVE STE 150",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314443",
            "telephone_number": "800-525-4052",
            "fax_number": "877-661-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 T REX AVE STE 150",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314443",
            "telephone_number": "877-316-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 Communication Ave",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334313307",
            "country_code": "US",
            "telephone_number": "561-972-9552",
            "fax_number": "877-661-6178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIANS LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "FRISCIA",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS MANAGER",
        "authorized_official_telephone_number": "561-972-9553"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2036071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.