Organization Active NPI

Smart Lab DX, LLC

  • Clinical Medical Laboratory
  • Lauderdale Lakes, FL
National Provider Identifier
1669184305
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SMART LAB DX, LLC
Practice address
3500 N State Road 7 Ste 102
Lauderdale Lakes, FL 33319-5616
Phone
(954) 694-1777
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Ms. Tsehia Martinez
Title
Lab Director
Phone
(954) 400-8125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3500 N State Road 7 Ste 102
Lauderdale Lakes, FL 33319-5616

Mailing address

3500 N State Road 7 Ste 102
Lauderdale Lakes, FL 33319-5616
Phone (954) 694-1777

National Provider Directory

National Provider Directory

Locations

3500 N State Road 7
Ste 102
Lauderdale Lakes, FL 33319
Phone (954) 694-1777

5975 W Sunrise Blvd
Ste 106
Plantation, FL 33313
Phone (954) 696-0273

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1669184305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N STATE ROAD 7 STE 102",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195616",
            "telephone_number": "954-694-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N STATE ROAD 7 STE 102",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195616",
            "telephone_number": "954-694-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART LAB DX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "TSEHIA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "954-400-8125",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.