Active NPI
Bostwick Laboratories Inc
- Clinical Medical Laboratory
- Orlando, FL
National Provider Identifier
1871526384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BOSTWICK LABORATORIES INC
- Practice address
- 6925 Lake Ellenor Dr
Suite 2
Orlando, FL 32809-4631 - Phone
- (407) 888-9937
- Fax
- (407) 856-0333
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin J Stefanelli
- Title
- Ceo
- Phone
- (516) 512-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
6925 Lake Ellenor Dr
Suite 2
Orlando, FL 32809-4631
Mailing address
PO Box 403751
Atlanta, GA 30384-3751
Phone (804) 967-9225
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138056 | Other | VA | ANTHEM BCBS OF VIRGINIA |
| 911980901 | Medicaid | FL | |
| 000000265151 | Medicaid | OH | |
| 1871526384 | Medicaid | UT | |
| 1871526384 | Medicaid | VA | |
| 100003924 | Medicaid | WI | |
| 93355076 | Medicaid | CO | |
| 200931860A | Medicaid | IN | |
| 7001363 | Medicaid | NC | |
| L00257 | Medicaid | SC | |
| 003124823 | Medicaid | CT | |
| 1632939 | Medicaid | LA | |
| 200024720C | Medicaid | OK | |
| 441761 | Medicaid | AZ | |
| 68730055 | Medicaid | NM | |
| 1871526384 | Medicaid | IA | |
| 7147838 | Medicaid | WA | |
| 1009021320005 | Medicaid | PA | |
| 127455400 | Medicaid | WY | |
| 1871526384 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
7001 Lk Ellenor Dr
Orlando, FL 32809
Phone (407) 650-0216
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology Physician
- Orlando, FL
- NPI 1467555987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417564800000",
"number": "1871526384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 403751",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303843751",
"telephone_number": "804-967-9225",
"fax_number": "804-239-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6925 LAKE ELLENOR DR",
"address_2": "SUITE 2",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328094631",
"telephone_number": "407-888-9937",
"fax_number": "407-856-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTWICK LABORATORIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2014-12-03",
"status": "A",
"authorized_official_last_name": "STEFANELLI",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "516-512-5200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF VIRGINIA",
"identifier": "138056",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "911980901",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000265151",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871526384",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871526384",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100003924",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93355076",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200931860A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7001363",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L00257",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003124823",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1632939",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200024720C",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "441761",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68730055",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871526384",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7147838",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009021320005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127455400",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871526384",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.