Organization Active NPI

Morcella Labs LLC

  • Clinical Medical Laboratory
  • Boca Raton, FL
National Provider Identifier
1730840653
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MORCELLA LABS LLC
Practice address
9858 Clint Moore Rd # C111126
Boca Raton, FL 33496-1034
Phone
(203) 515-1260
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Mardochee Monestime
Title
Credentialing Specialist
Phone
(786) 328-4352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

9858 Clint Moore Rd # C111126
Boca Raton, FL 33496-1034

Mailing address

9858 Clint Moore Rd # C111126
Boca Raton, FL 33496-1034
Phone (203) 515-1260

National Provider Directory

National Provider Directory

Locations

9858 Clint Moore Rd
#C111126
Boca Raton, FL 33496
Phone (203) 515-1260

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1730840653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD # C111126",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "203-515-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD # C111126",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "203-515-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORCELLA LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "MONESTIME",
        "authorized_official_first_name": "MARDOCHEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "786-328-4352"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.