QBQ Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800028681 Issued in FL

Legal business name

QBQ LAB, LLC

Practice address

1701 Green Road
Ste 207
Deerfield Beach, FL 33064

Phone

(754) 399-2606

Fax

(954) 856-2904

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Gabriela Engels

Title

President

Phone

(954) 961-8801

Specialties & licenses 2

Addresses

Other names 1

• Pharma Labs and Extractions, LLC Former legal business name

Locations

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1750822086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 HARDING STREET",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-961-8801",
            "fax_number": "954-856-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GREEN ROAD",
            "address_2": "STE 207",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "754-399-2606",
            "fax_number": "954-856-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QBQ LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "ENGELS",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-961-8801"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800028681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharma Labs and Extractions, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nycia Celina Puryear
• Gerald Samuel Pusey
• Chester Pyatt II
• Jonathan David Pybus, PHARM D
• Catherine Pycko
• Quantum Behavioral Solutions LLC
• Quantum Bio LLC
• Quantum Detox LLC
• Melisa Quelle Alvarez, RBT
• Alondra Quezada

• Clinical Medical Laboratory in Deerfield Beach, FL
• Providers in Deerfield Beach, 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 Mar 14, 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.