Organization Active NPI

Integrated Regional Laboratories, LLP

  • Clinical Medical Laboratory
  • Deerfield Beach, FL
National Provider Identifier
1487657573
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D-0964885 Issued in FL
Legal business name
INTEGRATED REGIONAL LABORATORIES, LLP
Practice address
3201 SW 15TH St
Deerfield Beach, FL 33442-8157
Phone
(954) 777-0018
Fax
(866) 772-5953
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Ms. Joanne Trout
Title
President
Phone
(954) 777-0018

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D0964885 FL
Clinical Medical Laboratory 291U00000X FL
Clinical Medical Laboratory 291U00000X 10D-0964885 FL Primary
Clinical Medical Laboratory 291U00000X 800014878 FL

Addresses

Primary practice location

3201 SW 15TH St
Deerfield Beach, FL 33442-8157

Mailing address

3201 SW 15TH St
Deerfield Beach, FL 33442-8157
Phone (954) 777-0018

Other identifiers 2

IdentifierTypeStateIssuer
L9208OtherFLBLUE SHIELD
030661400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051121000990 FL Part B Supplier - Independent Clinical Laboratory 0840219655 Practice locations: Alachua, FL; Deerfield Beach, FL; Largo, 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
10D2259615Integrated Regional Laboratories3201 SW 15TH St, Deerfield Beach, FL 33442AccreditationDec 26, 2027

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

11600 NW 173rd St
Ste 140
Alachua, FL 32615
Phone (352) 333-4955

3201 SW 15th St
Deerfield Beach, FL 33442
Phone (954) 246-7625

2100 Nebraska Ave
Ste 209
Fort Pierce, FL 34950
Phone (772) 465-8411

1551 West Bay Dr
Ste 105
Largo, FL 33770
Phone (800) 552-0232

3365 Burns Rd
Ste 211
West Palm Beach, FL 33410

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1487657573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SW 15TH ST",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428157",
            "telephone_number": "954-777-0018",
            "fax_number": "866-772-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SW 15TH ST",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428157",
            "telephone_number": "954-777-0018",
            "fax_number": "866-772-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED REGIONAL LABORATORIES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "TROUT",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-777-0018",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D0964885",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D-0964885",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800014878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "L9208",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030661400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.