Organization Active NPI

90 Minute Laboratory LLC

Doing business as SYNC Laboratories

  • Clinical Medical Laboratory
  • Panama City, FL
National Provider Identifier
1588349161
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
90 MINUTE LABORATORY LLC
Doing business as
SYNC Laboratories
Practice address
11903 Panama City Beach Pkwy # B
Panama City, FL 32407-2605
Phone
(850) 353-0187
Fax
(850) 373-4930
NPI assigned
Jun 20, 2023
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Richard Westenbarger, MDNPI 1023169968
Title
Partner
Phone
(850) 284-6117

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 NU Primary

Addresses

Primary practice location

11903 Panama City Beach Pkwy # B
Panama City, FL 32407-2605

Mailing address

11903 Panama City Beach Pkwy Unit B
Panama City Beach, FL 32407-2621
Phone (850) 284-6117

Other names 1

  • SYNC Laboratories Doing business as

National Provider Directory

National Provider Directory

Locations

11903 Panama City Beach Pkwy
Unit B
Panama City Beach, FL 32407
Phone (850) 353-0187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1588349161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 PANAMA CITY BEACH PKWY UNIT B",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072621",
            "telephone_number": "850-284-6117",
            "fax_number": "850-373-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 PANAMA CITY BEACH PKWY # B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324072605",
            "telephone_number": "850-353-0187",
            "fax_number": "850-373-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "90 MINUTE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "WESTENBARGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "850-284-6117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNC Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SYNC Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.