NPIMap

Organization Active NPI

Sorella House

  • Clinical Medical Laboratory
  • West Palm Beach, FL
National Provider Identifier
1528402666
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D2054584 Issued in FL
Legal business name
SORELLA HOUSE
Practice address
8047 45TH Way N
West Palm Beach, FL 33418-6170
Phone
(561) 715-9288
NPI assigned
Apr 19, 2013
Last updated
Apr 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Angela Iacullo
Title
Director
Phone
(561) 715-9288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D2054584 FL Primary

Addresses

Primary practice location

8047 45TH Way N
West Palm Beach, FL 33418-6170

Mailing address

8047 45TH Way N
West Palm Beach, FL 33418-6170

National Provider Directory

National Provider Directory
Tax ID family
San Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1528402666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8047 45TH WAY N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334186170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8047 45TH WAY N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334186170",
            "telephone_number": "561-715-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORELLA HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "IACULLO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-715-9288"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2054584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.