NPIMap

Organization Active NPI

Living Tree Laboratories LLC

  • Clinical Medical Laboratory
  • Jupiter, FL
National Provider Identifier
1649676743
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800027399 Issued in FL
Legal business name
LIVING TREE LABORATORIES LLC
Practice address
555 Heritage Dr Ste 125
Jupiter, FL 33458-5287
Phone
(561) 408-6700
Fax
(561) 828-8531
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Moshe Dunoff
Title
Chief Executive Officer
Phone
(215) 499-5619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800027399 FL Primary

Addresses

Primary practice location

555 Heritage Dr Ste 125
Jupiter, FL 33458-5287

Mailing address

555 Heritage Dr Ste 125
Jupiter, FL 33458-5287
Phone (215) 499-5619

Other names 1

  • ANS Laboratories Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Ans Laboratories2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

555 Heritage Dr
Ste 125
Jupiter, FL 33458
Phone (561) 408-6700

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1649676743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HERITAGE DR STE 125",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585287",
            "telephone_number": "215-499-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HERITAGE DR STE 125",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585287",
            "telephone_number": "561-408-6700",
            "fax_number": "561-828-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING TREE LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "DUNOFF",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-499-5619"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800027399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANS Laboratories",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.