Organization Active NPI

Jaytee Clinicians

  • Clinical Medical Laboratory
  • Lauderdale Lakes, FL
National Provider Identifier
1508520883
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JAYTEE CLINICIANS
Practice address
4000 N State Road 7 Ste 409D
Lauderdale Lakes, FL 33319-4882
Phone
(954) 534-4069
NPI assigned
Oct 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Janet Tait-RoperNPI 1124782420
Title
Owner
Phone
(954) 534-4069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4000 N State Road 7 Ste 409D
Lauderdale Lakes, FL 33319-4882

Mailing address

4000 N State Road 7 Ste 409D
Lauderdale Lakes, FL 33319-4882
Phone (954) 534-4069

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
10D2252717Jaytee Clinician, LLC4000 N State Road 7, Ste 409-D, Lauderdale Lakes, FL 33319Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Locations

1515 N University Dr
Ste 111
Coral Springs, FL 33071

4000 N State Road 7
Ste 409D
Lauderdale Lakes, FL 33319
Phone (954) 534-4069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1508520883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N STATE ROAD 7 STE 409D",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194882",
            "telephone_number": "954-534-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N STATE ROAD 7 STE 409D",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194882",
            "telephone_number": "954-534-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYTEE CLINICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-23",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "TAIT-ROPER",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-534-4069"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.

Verify at the official NPI Registry.