Active NPI
American Scientific Laboratories
- Clinical Medical Laboratory
- West Palm Beach, FL
National Provider Identifier
1528678604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- AMERICAN SCIENTIFIC LABORATORIES
- Practice address
- 1860 Old Okeechobee Rd Ste 508
West Palm Beach, FL 33409-5242 - Phone
- (561) 329-7390
- NPI assigned
- Aug 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zulley A Samaniego
- Title
- Cfo
- Phone
- (561) 329-7390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1860 Old Okeechobee Rd Ste 508
West Palm Beach, FL 33409-5242
Mailing address
1860 Old Okeechobee Rd Ste 508
West Palm Beach, FL 33409-5242
Phone (561) 329-7390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210412001104 | FL | Part B Supplier - Independent Clinical Laboratory | 5890103881 | Practice locations: West Palm Beach, FL |
National Provider Directory
National Provider DirectoryLocations
1860 Okeechobee Rd
Ste 508
West Palm Beach, FL 33409
Phone (561) 431-9310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604880000000",
"number": "1528678604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 OLD OKEECHOBEE RD STE 508",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334095242",
"telephone_number": "561-329-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 OLD OKEECHOBEE RD STE 508",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334095242",
"telephone_number": "561-329-7390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN SCIENTIFIC LABORATORIES",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-04",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A",
"authorized_official_last_name": "SAMANIEGO",
"authorized_official_first_name": "ZULLEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "561-329-7390"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"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 Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.