Signature Labs Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D2033132 Issued in FL

Legal business name

SIGNATURE LABS INC

Practice address

555 Heritage Dr Ste 110
Jupiter, FL 33458-5286

Phone

(561) 500-7446

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Veronica Hernandez

Title

Billing Manager

Phone

(954) 203-3584

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1851740187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OSCEOLA DR STE 223",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095075",
            "telephone_number": "561-500-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HERITAGE DR STE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585286",
            "telephone_number": "561-500-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-203-3584"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2033132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Allison Shuart, O.D.
• Alan Roger Shuster, M.D.
• Israel David Shuter, M.D.
• Lindsay Carolyn Shutes
• Billie Siedow
• Vanessa Silveira
• Ira Silver, PHARM D
• Fred Silvestri, M.D.
• Ekaterina Simakova, M.D.
• Brad David Simons, MD PHD PA

• Clinical Medical Laboratory in Jupiter, FL
• Providers in Jupiter, 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 Jun 7, 2016; 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.