Energin Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ENERGIN LABORATORIES LLC

Practice address

1701 Green Rd Ste A2
Deerfield Beach, FL 33064-1074

Phone

(561) 303-8887

NPI assigned

Nov 24, 2020

Last updated

Aug 17, 2022By 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

Jomo Ebanks

Title

Owner

Phone

(914) 406-1096

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fenix Rising Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Lake Worth, FL
  • NPI 1831728062

  Member Of

  NPD member

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1629672258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 GREEN RD STE A2",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641074",
            "telephone_number": "561-303-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GREEN RD STE A2",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641074",
            "telephone_number": "561-303-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGIN LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "EBANKS",
        "authorized_official_first_name": "JOMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-406-1096"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Eltine
• Kadian Elvin
• Emergent Neurosurgical Services, LLC
• Martine A Emile, FAMILY ARNP
• Shalexis Emile
• Energin Laboratories LLC
• Maxwell England
• Jade Enrique Tyus
• ENT Faculty Group
• Charlene Eppich

• Clinical Medical Laboratory in Deerfield Beach, FL
• Providers in Deerfield 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 Aug 17, 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.

Verify at the official NPI Registry.