Assured Toxicology Solutions, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ASSURED TOXICOLOGY SOLUTIONS, LLC

Practice address

4201 Vineland Rd
Suite I-12
Orlando, FL 32811-7486

Phone

(321) 710-3405

Fax

(321) 413-0255

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Shane David Locke

Title

Owner

Phone

(407) 832-0734

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1699035691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 VINELAND RD",
            "address_2": "SUITE I-12",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117486",
            "telephone_number": "321-710-3405",
            "fax_number": "321-413-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 VINELAND RD",
            "address_2": "SUITE I-12",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117486",
            "telephone_number": "321-710-3405",
            "fax_number": "321-413-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED TOXICOLOGY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-832-0734",
        "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 Orlando, FL
• Providers in Orlando, 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 May 23, 2012; 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.