Active NPI
Urban Lab Service
- Public Health or Welfare Agency
- Orlando, FL
National Provider Identifier
1619626611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- URBAN LAB SERVICE
- Practice address
- 4701 Carmel St
Orlando, FL 32808-2701 - Phone
- (321) 278-0084
- NPI assigned
- Mar 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Temia Muhammad
- Title
- Owner
- Phone
- (321) 278-0084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
4701 Carmel St
Orlando, FL 32808-2701
Mailing address
1317 Edgewater Dr # 2581
Orlando, FL 32804-6350
Phone (321) 278-0084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003210022 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | communitiesrus@gmail.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Orlando, FL
- NPI 1003210022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647561600000",
"number": "1619626611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 EDGEWATER DR # 2581",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046350",
"telephone_number": "321-278-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 CARMEL ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328082701",
"telephone_number": "321-278-0084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URBAN LAB SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A",
"authorized_official_last_name": "MUHAMMAD",
"authorized_official_first_name": "TEMIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-278-0084"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003210022",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "communitiesrus@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "office",
"address_1": "4701 Carmel St",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328082701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.