Express Tox LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXPRESS TOX LLC

Practice address

4601 N Congress Ave Ste 102
West Palm Beach, FL 33407-3381

Phone

(561) 814-5846

Fax

(561) 469-8769

NPI assigned

Nov 20, 2018

Organization subpart

No

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

Authorized official

Name

Paul Prince

Title

Authorized Repreasentive

Phone

(561) 660-2111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1780153668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE STE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073381",
            "telephone_number": "561-814-5846",
            "fax_number": "561-469-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE STE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073381",
            "telephone_number": "561-814-5846",
            "fax_number": "561-469-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS TOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "AUTHORIZED REPREASENTIVE",
        "authorized_official_telephone_number": "561-660-2111"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in West Palm Beach, FL
• Providers in West Palm 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 Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.