Prestige Clinicians -Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRESTIGE CLINICIANS -LABORATORY LLC

Practice address

331 NW 27TH Ave Ste 1
Fort Lauderdale, FL 33311-8632

Phone

(954) 496-2599

NPI assigned

Dec 1, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Henry Odazie, NP

Title

President

Phone

(954) 496-2599

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chinedu Obinna Okeke, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
  • NPI 1942663364
  NPD

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1760192546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NW 27TH AVE STE 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333118632",
            "telephone_number": "954-496-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NW 27TH AVE STE 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333118632",
            "telephone_number": "954-496-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CLINICIANS -LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "ODAZIE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-496-2599",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanik D Prendes
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• Prescriptrx Pharmacy LLC
• Paul George Preste, M.D.
• Prestige Cardiology Associates LLC
• Prestige Obstetrics and Gynecology Associates LLC
• Prestige Physicians LLC
• Prestige Recovery and Suboxone Clinic LLC
• Prestige Sports and Regenerative Medicine LLC
• Xaviera Preston, CNA

• Clinical Medical Laboratory in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Dec 1, 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.