Active NPI
Reliable Results Labs Inc
- Clinical Medical Laboratory
- Deerfield Beach, FL
National Provider Identifier
1639879034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- RELIABLE RESULTS LABS INC
- Practice address
- 600 Fairway Dr Ste 104
Deerfield Beach, FL 33441-1822 - Phone
- (203) 362-9580
- NPI assigned
- Mar 6, 2023
- 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
- Mr. Ralph J Deluca III
- Title
- President
- Phone
- (203) 362-9580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
600 Fairway Dr Ste 104
Deerfield Beach, FL 33441-1822
Mailing address
600 Fairway Dr Ste 104
Deerfield Beach, FL 33441-1822
Phone (203) 362-9580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230519000847 | FL | Part B Supplier - Independent Clinical Laboratory | 5890151724 | Practice locations: Deerfield Beach, FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682985600000",
"number": "1639879034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 FAIRWAY DR STE 104",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411822",
"telephone_number": "203-362-9580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 FAIRWAY DR STE 104",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411822",
"telephone_number": "203-362-9580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIABLE RESULTS LABS INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A",
"authorized_official_last_name": "DELUCA",
"authorized_official_first_name": "RALPH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-362-9580",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.