Organization Active NPI

Lab Stop USA, Inc

  • Clinical Medical Laboratory
  • Port St Lucie, FL
National Provider Identifier
1689161051
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LAB STOP USA, INC
Practice address
466 SW Port St Lucie Blvd Ste 103
Port St Lucie, FL 34953-2090
Phone
(772) 777-4876
Fax
(772) 249-4618
NPI assigned
Apr 20, 2018
Last updated
Apr 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Erick Anderson, RN
Title
Owner
Phone
(772) 777-4876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

466 SW Port St Lucie Blvd Ste 103
Port St Lucie, FL 34953-2090

Mailing address

466 SW Port St Lucie Blvd Ste 103
Port St Lucie, FL 34953-2090
Phone (772) 777-4876

National Provider Directory

National Provider Directory

Locations

466 SW Port St Lucie Blvd
Ste 103
Port St Lucie, FL 34953
Phone (772) 777-4876

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1689161051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 SW PORT ST LUCIE BLVD STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532090",
            "telephone_number": "772-777-4876",
            "fax_number": "772-249-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 SW PORT ST LUCIE BLVD STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532090",
            "telephone_number": "772-777-4876",
            "fax_number": "772-249-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB STOP USA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-777-4876",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.