Sunshine Clinical Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SUNSHINE CLINICAL LAB LLC

Practice address

3600 Galileo Dr Ste 104
Trinity, FL 34655-1795

Phone

(631) 805-4406

NPI assigned

Jul 14, 2023

Last updated

Jan 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Uralil, CFO

Title

Owner

Phone

(631) 805-4406

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1861171050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GALILEO DR STE 104",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GALILEO DR STE 104",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551795",
            "telephone_number": "631-805-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE CLINICAL LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "URALIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-805-4406",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Stott, PHARMD
• Daniel Su
• Andrea Mariella Suarez
• Thondikulam Ananthanarayanan Subramanian, MD
• Vishnu Hardasmal Sujanani, MA, CCC-SLP
• Kristen Renee Suraci
• Surgical Specialists of Trinity, PA
• Brandon Tyler Szakacs, DO
• T. Subramanian MD PA
• Rebecca J Tae, PA

• Clinical Medical Laboratory in Trinity, FL
• Providers in Trinity, 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 Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.