Drug Testing Service Center

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

20090494 Issued in FL

Legal business name

DRUG TESTING SERVICE CENTER

Practice address

10011 Pines Blvd
Suite 202
Pembroke Pines, FL 33024-6189

Phone

(954) 430-2676

Fax

(954) 430-2891

NPI assigned

Aug 7, 2012

Last updated

Aug 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Davis

Title

Owner/President

Phone

(954) 430-2676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1548517758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870115",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870003",
            "telephone_number": "770-985-1888",
            "fax_number": "866-799-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 PINES BLVD",
            "address_2": "SUITE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246189",
            "telephone_number": "954-430-2676",
            "fax_number": "954-430-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG TESTING SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-430-2676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "FL",
            "license": "20090494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.