Organization Active NPI

Alliance Labs, LLC

Doing business as UF Health Alliance Laboratory

  • Clinical Medical Laboratory
  • Leesburg, FL
National Provider Identifier
1598993289
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ALLIANCE LABS, LLC
Doing business as
UF Health Alliance Laboratory
Practice address
732 N 3Rd St
Leesburg, FL 34748-4442
Phone
(352) 787-1778
Fax
(352) 787-1164
NPI assigned
Jul 1, 2009
Last updated
Feb 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LEESBURG REGIONAL MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Mrs. Diane Harden
Title
Chief Financial Officer
Phone
(352) 323-5002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

732 N 3Rd St
Leesburg, FL 34748-4442

Mailing address

732 N 3Rd St
Leesburg, FL 34748-4442
Phone (352) 787-1778

Other identifiers 1

IdentifierTypeStateIssuer
001139000MedicaidFL

Other names 1

  • UF Health Alliance Laboratory Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1042132Uf Health Pathology Laboratories732 N 3Rd Street, Leesburg, FL 34748AccreditationJul 21, 2027

National Provider Directory

National Provider Directory
Part of
Leesburg Reg Med Ctr Inc

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1598993289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 N 3RD ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484442",
            "telephone_number": "352-787-1778",
            "fax_number": "352-787-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 N 3RD ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484442",
            "telephone_number": "352-787-1778",
            "fax_number": "352-787-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE LABS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEESBURG REGIONAL MEDICAL CENTER, INC.",
        "enumeration_date": "2009-07-01",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "352-323-5002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001139000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UF Health Alliance Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.