Active NPI
Physicians Lab, Inc.
- Clinical Medical Laboratory
- Boca Raton, FL
National Provider Identifier
1477811503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 10D2036071
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2147002 | Physicians Lab Inc | Accreditation | Jun 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.