Unilab of Dade Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D0284855 Issued in FL

Legal business name

UNILAB OF DADE INC

Practice address

2145 Davie Blvd
#106
Ft Lauderdale, FL 33312-3161

Phone

(954) 792-7422

Fax

(954) 797-9494

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Julio E Cortes Jr., BS

Title

V.P

Phone

(954) 792-7422

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Unilab Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1922007947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 DAVIE BLVD",
            "address_2": "#106",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123161",
            "telephone_number": "954-792-7422",
            "fax_number": "954-797-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 DAVIE BLVD",
            "address_2": "#106",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123161",
            "telephone_number": "954-792-7422",
            "fax_number": "954-797-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNILAB OF DADE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "V.P",
        "authorized_official_telephone_number": "954-792-7422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D0284855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "10D0284855",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unilab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Ft Lauderdale, FL
• Providers in Ft Lauderdale, 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 Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.