Loddstone Lab Group of Florida

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800026240 Issued in FL

Legal business name

LODDSTONE LAB GROUP OF FLORIDA

Practice address

409 W Hallandale Beach Blvd
# 208
Hallandale Beach, FL 33009-5301

Phone

(786) 236-3879

Fax

(954) 457-8111

NPI assigned

Nov 22, 2011

Organization subpart

No

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

Authorized official

Name

Antoineta Loureiro

Title

Owner

Phone

(786) 236-3879

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1508133372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W HALLANDALE BEACH BLVD",
            "address_2": "# 208",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095301",
            "telephone_number": "786-236-3879",
            "fax_number": "954-457-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W HALLANDALE BEACH BLVD",
            "address_2": "# 208",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095301",
            "telephone_number": "786-236-3879",
            "fax_number": "954-457-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODDSTONE LAB GROUP OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "LOUREIRO",
        "authorized_official_first_name": "ANTOINETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-236-3879"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800026240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Hallandale Beach, FL
• Providers in Hallandale Beach, 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 Jul 9, 2012; 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.