Organization Active NPI

Real Life Lab, LLC

  • Clinical Medical Laboratory
  • Delray Beach, FL
National Provider Identifier
1720419658
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REAL LIFE LAB, LLC
Practice address
258 SE 6TH Ave
Suite 8
Delray Beach, FL 33483-5259
Phone
(561) 265-5951
NPI assigned
Dec 3, 2013
Organization subpart
Yes
Parent organization
REAL LIFE RECOVERY DELRAY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Eric Snyder
Title
Ceo
Phone
(561) 265-5951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

258 SE 6TH Ave
Suite 8
Delray Beach, FL 33483-5259

Mailing address

258 SE 6TH Ave
Suite 8
Delray Beach, FL 33483-5259
Phone (561) 265-5951

National Provider Directory

National Provider Directory
Part of
Real Life Recovery Delray LLC

Locations

258 SE 6th Ave
Ste 8
Delray Beach, FL 33483
Phone (561) 265-5951

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1720419658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 SE 6TH AVE",
            "address_2": "SUITE 8",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835259",
            "telephone_number": "561-265-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 SE 6TH AVE",
            "address_2": "SUITE 8",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835259",
            "telephone_number": "561-265-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE LAB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REAL LIFE RECOVERY DELRAY, LLC",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-265-5951"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.