Eccolab Group Co

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800016716 Issued in FL

Legal business name

ECCOLAB GROUP CO

Practice address

8370 W Flagler St
Suite 216
Miami, FL 33144-2094

Phone

(305) 220-3805

Fax

(305) 220-3813

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Mesa

Title

Owner/Presidet

Phone

(305) 220-3805

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eccolab Group Co

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1770081507

  O20040811001326

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Eccolab Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eccolab Group Co

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1770081507
  NPD tax ID

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1831228709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8370 W FLAGLER ST",
            "address_2": "SUITE 216",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442094",
            "telephone_number": "305-220-3805",
            "fax_number": "305-220-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 W FLAGLER ST",
            "address_2": "SUITE 216",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442094",
            "telephone_number": "305-220-3805",
            "fax_number": "305-220-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCOLAB GROUP CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER/PRESIDET",
        "authorized_official_telephone_number": "305-220-3805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800016716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030696700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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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 Mar 5, 2008; 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.