Med Lab of South Florida

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MED LAB OF SOUTH FLORIDA

Practice address

999 SW 71St Ave
North Lauderdale, FL 33068-2313

Phone

(954) 722-8577

Fax

(954) 720-1666

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Lourdes Eloi

Title

Vice President

Phone

(954) 722-8577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1669503686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SW 71ST AVE",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682313",
            "telephone_number": "954-722-8577",
            "fax_number": "954-720-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SW 71ST AVE",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682313",
            "telephone_number": "954-722-8577",
            "fax_number": "954-720-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED LAB OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "ELOI",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-722-8577"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Marcellus, NP
• Ashley Marin, SZ
• Imani Mawali
• Tiana McCleod
• Jodian McGhie-Thorpe
• Louquista Zhenya Medina
• Suzie Meellus
• Luan Menda Cocking, DPT
• Delroy A Mercurius, BEHAVIOR ASSISTANT
• Auracelene Metayer I

• Clinical Medical Laboratory in North Lauderdale, FL
• Providers in North Lauderdale, 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 Jul 18, 2007; 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.