The Laboratory Company

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

THE LABORATORY COMPANY

Practice address

2340 SW Poma Dr
Palm City, FL 34990

Phone

(561) 762-5314

Fax

(772) 382-2482

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Raj Melaram

Title

Coo

Phone

(321) 536-0254

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1669867495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 SW POMA DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "561-762-5314",
            "fax_number": "772-382-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SW POMA DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "561-762-5314",
            "fax_number": "772-382-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LABORATORY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "MELARAM",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "321-536-0254",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Palm City, FL
• Providers in Palm City, 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 Jun 3, 2015; 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.