Energin Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ENERGIN LABORATORIES LLC

Practice address

1701 Green Rd Ste A2
Deerfield Beach, FL 33064-1074

Phone

(561) 303-8887

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Jomo Ebanks

Title

Ceo

Phone

(561) 476-0797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1669187381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 GREEN RD STE A2",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641074",
            "telephone_number": "561-303-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GREEN RD STE A2",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641074",
            "telephone_number": "561-303-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGIN LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "EBANKS",
        "authorized_official_first_name": "JOMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-476-0797"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Deerfield Beach, FL
• Providers in Deerfield 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 Jan 17, 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.