NPIMap

Organization Active NPI

Medlab Diagnostics, LLC

Doing business as FastLabs

  • Physiological Laboratory
  • South Miami, FL
National Provider Identifier
1497352082
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MEDLAB DIAGNOSTICS, LLC
Doing business as
FastLabs
Practice address
6193 Sunset Dr
South Miami, FL 33143-5041
Phone
(305) 900-5786
NPI assigned
Oct 6, 2020
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Raul Cruz, MDNPI 1144421454
Title
Partner
Phone
(305) 793-4855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

6193 Sunset Dr
South Miami, FL 33143-5041

Mailing address

7901 4TH St N Ste 4000
St Petersburg, FL 33702-4305

Other names 1

  • FastLabs Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Fax

National Provider Directory

National Provider Directory

Locations

1430 S Dixie Hwy
Ste 320
Coral Gables, FL 33146

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1497352082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 4000",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6193 SUNSET DR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435041",
            "telephone_number": "305-900-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLAB DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "305-793-4855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "address_1": "6193 Sunset Dr",
            "city": "South Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331435041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FastLabs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FastLabs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.