Organization Active NPI

Integra Lab Managment

  • Clinical Medical Laboratory
  • Jupiter, FL
National Provider Identifier
1679955264
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INTEGRA LAB MANAGMENT
Practice address
1001 Jupiter Park Dr
Suite 117
Jupiter, FL 33458-6002
Phone
(561) 935-3035
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Dr. Leroy Mell Jr., PH.D
Title
Clinical Laboratory Director
Phone
(561) 935-3035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1001 Jupiter Park Dr
Suite 117
Jupiter, FL 33458-6002

Mailing address

1001 Jupiter Park Dr
Suite 117
Jupiter, FL 33458-6002

National Provider Directory

National Provider Directory

Locations

1001 Jupiter Park Dr
Ste 117
Jupiter, FL 33458
Phone (561) 935-3035

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1679955264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 JUPITER PARK DR",
            "address_2": "SUITE 117",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 JUPITER PARK DR",
            "address_2": "SUITE 117",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586002",
            "telephone_number": "561-935-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA LAB MANAGMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "MELL",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "CLINICAL LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "561-935-3035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.