My Chem Lab LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

MY CHEM LAB LLC

Practice address

602 Jackson St
Wildwood, FL 34785-3301

Phone

(352) 571-3148

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Tasha D Lasane

Title

Owner

Phone

(352) 571-3148

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1780457002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347850572",
            "telephone_number": "352-571-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 JACKSON ST",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347853301",
            "telephone_number": "352-571-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHEM LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "LASANE",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-571-3148"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine E. Moorman, ARNP, DHSC
• Wanda K Morris
• Ammar Mousa, DDS
• Furqan Muhammad, M.D.
• Catherine Murphy, LPN
• Nephrology Choice PLLC
• Ieshia Nesbitt, LPN
• Neurology Center of Excellence, PLLC
• Anhtuan Nguyen, DMD, MBS, MS
• Khanh Phuong Nguyen

• Phlebotomy Technician in Wildwood, FL
• Providers in Wildwood, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.