Nephcare Lab Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEPHCARE LAB CORP

Practice address

485 S Kirkman Rd Ste 204
Orlando, FL 32811-7003

Phone

(407) 218-2089

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Nephthali Cherubin

Title

Ceo

Phone

(407) 218-2089

Specialties & licenses 2

Addresses

Other names 1

• auto work injury rehab nc inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1639768898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 WESTBOROUGH LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328181356",
            "telephone_number": "407-218-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S KIRKMAN RD STE 204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117003",
            "telephone_number": "407-218-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 N Pine Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328084833",
            "country_code": "US",
            "telephone_number": "407-218-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEPHCARE LAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "CHERUBIN",
        "authorized_official_first_name": "NEPHTHALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-218-2089"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "auto work injury rehab nc inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Sava D Nenic, M.D.
• Neosmiles PLLC
• Nephrology Partners of Central Florida LLC
• Marie Carine Nerelus
• Ke'Andra Nesmith
• Fady N Nessim
• Nest Nursing and Lactation Services,P.a

• Clinical Medical Laboratory in Orlando, FL
• Providers in Orlando, 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 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.