Organization Active NPI

Abc Path Lab Corporation

  • Clinical Medical Laboratory
  • Miramar, FL
National Provider Identifier
1609107325
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
ME72663 Issued in FL
Legal business name
ABC PATH LAB CORPORATION
Practice address
3000 SW 148TH Avenue
Suite 250B
Miramar, FL 33027
Phone
(954) 885-5551
Fax
(954) 885-5559
NPI assigned
Jan 20, 2010
Last updated
Jan 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Francisco Flores, MDNPI 1114914934
Title
Director
Phone
(954) 885-5551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X ME72663 FL Primary

Addresses

Primary practice location

3000 SW 148TH Avenue
Suite 250B
Miramar, FL 33027

Mailing address

3000 SW 148TH Ave
Suite 250B
Miramar, FL 33027-4169
Phone (954) 885-5551

National Provider Directory

National Provider Directory

Locations

3000 SW 148th Ave
Ste 250B
Miramar, FL 33027
Phone (954) 885-5551

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": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1609107325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SW 148TH AVE",
            "address_2": "SUITE 250B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274169",
            "telephone_number": "954-885-5551",
            "fax_number": "954-885-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SW 148TH AVENUE",
            "address_2": "SUITE 250B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-885-5551",
            "fax_number": "954-885-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PATH LAB CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-885-5551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "ME72663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.