Prosperity Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROSPERITY LABORATORY LLC

Practice address

321 Northlake Blvd Ste 210
North Palm Beach, FL 33408-5400

Phone

(860) 574-2710

NPI assigned

May 27, 2020

Last updated

Nov 30, 2020By 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

Joseph Neal

Title

Owner

Phone

(781) 799-0114

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1659994481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 US 1",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084600",
            "telephone_number": "860-574-2710",
            "fax_number": "561-828-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NORTHLAKE BLVD STE 210",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085400",
            "telephone_number": "860-574-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 US 1",
            "address_purpose": "LOCATION",
            "city": "North Palm Beach",
            "state": "FL",
            "postal_code": "334084600",
            "country_code": "US",
            "telephone_number": "860-574-2710",
            "fax_number": "561-828-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROSPERITY LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-799-0114"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in North Palm Beach, FL
• Providers in North Palm 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 Nov 30, 2020; 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.