Organization Active NPI

Medi-Tox Labs

  • Clinical Medical Laboratory
  • Lake Mary, FL
National Provider Identifier
1760863575
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDI-TOX LABS
Practice address
766 N Sun Dr
Suite 1060
Lake Mary, FL 32746-2552
Phone
(407) 322-5923
Fax
(407) 333-2358
NPI assigned
Jun 17, 2015
Last updated
Jun 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Dr. Chester Miltenberger, MDNPI 1902855505
Title
Medical Director
Phone
(407) 322-5923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X FL Primary

Addresses

Primary practice location

766 N Sun Dr
Suite 1060
Lake Mary, FL 32746-2552

Mailing address

766 N Sun Dr
Suite 1060
Lake Mary, FL 32746-2552
Phone (407) 322-5923

National Provider Directory

National Provider Directory

Locations

766 N Sun Dr
Ste 1060
Lake Mary, FL 32746
Phone (386) 668-6969

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1760863575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 N SUN DR",
            "address_2": "SUITE 1060",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462552",
            "telephone_number": "407-322-5923",
            "fax_number": "407-333-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 N SUN DR",
            "address_2": "SUITE 1060",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462552",
            "telephone_number": "407-322-5923",
            "fax_number": "407-333-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-TOX LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "MILTENBERGER",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-322-5923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.