GLRN Bioreference LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GLRN BIOREFERENCE LLC

Doing business as

Lifesource Laboratories

Practice address

7440 SW 50TH Ter
Miami, FL 33155-4492

Phone

(786) 558-8892

Fax

(305) 667-1765

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Emily Lozano

Title

Owner

Phone

(305) 905-5218

Specialties & licenses 1

Addresses

Other names 1

• LIFESOURCE LABORATORIES Doing business as

Locations

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1770345670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 SW 50TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554492",
            "telephone_number": "786-558-8892",
            "fax_number": "305-667-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 SW 50TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554492",
            "telephone_number": "786-558-8892",
            "fax_number": "305-667-1765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7116 SW 47th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331554630",
            "country_code": "US",
            "telephone_number": "786-558-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLRN BIOREFERENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-905-5218",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFESOURCE LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Miami, FL
• Providers in Miami, 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 Jan 25, 2024; 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.