Cedar Point Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CEDAR POINT LABS LLC

Practice address

823 SE Osceola St Ste 2
Stuart, FL 34994-2431

Phone

(833) 246-5227

NPI assigned

Jan 23, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Arthur Dean

Title

Managing Partner

Phone

(833) 246-5227

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1497219612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 SW 30TH ST UNIT 279338",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330277295",
            "telephone_number": "833-246-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SE OSCEOLA ST STE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942431",
            "telephone_number": "833-246-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR POINT LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "833-246-5227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2160656",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA",
            "identifier": "29321",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Cauble
• Lilian Cavaleri
• Taylor Cavanaugh
• Elijah Bleu Cavender
• Maria Ceballos
• Brittany Cedarburg, APRN
• Carlos Ananias Cedeno, MD
• Wadline Celestin
• Ashley Kaitlin Celis
• Emanez D Celony, LPN

• Clinical Medical Laboratory in Stuart, FL
• Providers in Stuart, 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 Jan 23, 2019; 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.