TJ Express Lab, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

TJ EXPRESS LAB, LLC

Practice address

1103 NE 33Rd St
Pompano Beach, FL 33064-5226

Phone

(954) 892-4554

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Taciana F Alcoforado, NCPT

Title

Managing Partner

Phone

(978) 727-5654

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1801547104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971130",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330971130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 NE 33RD ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645226",
            "telephone_number": "954-892-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJ EXPRESS LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "ALCOFORADO",
        "authorized_official_first_name": "TACIANA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "978-727-5654",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NCPT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.