NPIMap

Organization Active NPI

Core Biotech Systems

  • Clinical Medical Laboratory
  • Lake Park, FL
National Provider Identifier
1598112427
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CORE BIOTECH SYSTEMS
Practice address
1325 S Killian Dr
Suite 1
Lake Park, FL 33403-1965
Phone
(561) 508-8194
Fax
(561) 847-4466
NPI assigned
May 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
William Adam Shirley, MS, MLS (ASCP)
Title
Laboratory General Supervisor
Phone
(601) 540-6974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1325 S Killian Dr
Suite 1
Lake Park, FL 33403-1965

Mailing address

1325 S Killian Dr
Suite 1
Lake Park, FL 33403-1965
Phone (561) 508-8194

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1598112427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S KILLIAN DR",
            "address_2": "SUITE 1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031965",
            "telephone_number": "561-508-8194",
            "fax_number": "561-847-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S KILLIAN DR",
            "address_2": "SUITE 1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031965",
            "telephone_number": "561-508-8194",
            "fax_number": "561-847-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE BIOTECH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "LABORATORY GENERAL SUPERVISOR",
        "authorized_official_telephone_number": "601-540-6974",
        "authorized_official_credential": "MS, MLS (ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.