Another Chance Diagnostic Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ANOTHER CHANCE DIAGNOSTIC LABORATORY LLC

Practice address

3901 Titelist CT Apt 2337
Orlando, FL 32839-3296

Phone

(407) 403-2061

NPI assigned

Dec 17, 2020

Last updated

Dec 17, 2020By 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

La Toya Dawson

Title

Credentialing Specialist

Phone

(352) 231-7551

Specialties & licenses 1

Addresses

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.

• Sabrina Yvette Kelley, LPN

  • Clinical Laboratory Director (Non-physician)
  • Altamonte Springs, FL
  • NPI 1922626795
  NPD

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1902492671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 TITELIST CT APT 2337",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328393296",
            "telephone_number": "407-403-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 TITELIST CT APT 2337",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328393296",
            "telephone_number": "407-403-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE DIAGNOSTIC LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "LA TOYA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "352-231-7551"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Anne, COTA
• Martha Anneberg, SLP
• Annshellay Health Spa & Fitness LLC
• Annway Assisted Living, Inc.
• Anointed Hands Home Care LLC
• Leila Ansari
• Najeeb Khalil Ahmed Ansari, MD
• Najmus Sehr Ansari, M.D.
• Osama Ansari, M.D.
• Daniel Clayborn Anscher, M.D.

• Clinical Medical Laboratory in Orlando, FL
• Providers in Orlando, 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 Dec 17, 2020; 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.