Individual provider Active NPI

Marc Seth Schonberger

  • Clinical Medical Laboratory
  • Weston, FL
National Provider Identifier
1760952790
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Practice address
4059 Pinewood LN
Weston, FL 33331-3818
Phone
(954) 610-0445
Fax
(954) 228-2404
NPI assigned
Dec 3, 2018
Last updated
Dec 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 1

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

Addresses

Primary practice location

4059 Pinewood LN
Weston, FL 33331-3818

Mailing address

2255 Glades Rd Ste 324a
Boca Raton, FL 33431-8571
Phone (954) 610-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1760952790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 GLADES RD STE 324A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318571",
            "telephone_number": "954-610-0445",
            "fax_number": "954-228-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4059 PINEWOOD LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313818",
            "telephone_number": "954-610-0445",
            "fax_number": "954-228-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHONBERGER",
        "first_name": "MARC",
        "middle_name": "SETH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

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