Lake Drive Medical, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAKE DRIVE MEDICAL, LLC

Practice address

2675 Lake Dr
Riviera Beach, FL 33404-3813

Phone

(561) 748-2889

Fax

(561) 748-1523

NPI assigned

Oct 29, 2010

Last updated

Jun 25, 2013By 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

Karen Barlow

Title

President, Jupiter Professional Dev

Phone

(561) 748-2889

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1598065153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 HOOD RD",
            "address_2": "SUITE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188910",
            "telephone_number": "561-748-2889",
            "fax_number": "561-748-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 LAKE DR",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334043813",
            "telephone_number": "561-748-2889",
            "fax_number": "561-748-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE DRIVE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT, JUPITER PROFESSIONAL DEV",
        "authorized_official_telephone_number": "561-748-2889"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Maison Lamier Inc. (H B Anderson Home)
• Marvin Jay Ladov, D.D.S.
• Toniqua Lafleur
• Larisa Coromoto Lagasse, LMHC
• Nicholas Lago
• Kayla Nguyen Lam, PHARMD
• Katerina Jane Lambrinos, PHARMD
• Gary Reyburn Lammert, MD
• Lovena Lamour, LCSW
• Howard W. Lang, CRNA

• Clinical Medical Laboratory in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.