Organization Active NPI

Recovery in the Light

  • Clinical Medical Laboratory
  • Hollywood, FL
National Provider Identifier
1922557446
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RECOVERY IN THE LIGHT
Practice address
5001 Hollywood Blvd
Hollywood, FL 33021-6515
Phone
(855) 366-5224
Fax
(855) 768-4701
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Cathy Picillo
Title
Billing Collection Manager
Phone
(954) 993-7165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X FL Primary

Addresses

Primary practice location

5001 Hollywood Blvd
Hollywood, FL 33021-6515

Mailing address

5001 Hollywood Blvd
Hollywood, FL 33021-6515
Phone (855) 366-5224

Other identifiers 2

IdentifierTypeStateIssuer
10D2085719OtherFLCLIA LICENSE
800027831OtherFLCLINICAL LABORATORY

National Provider Directory

National Provider Directory
Tax ID family
Recovery in the Light3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1922557446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216515",
            "telephone_number": "855-366-5224",
            "fax_number": "855-768-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216515",
            "telephone_number": "855-366-5224",
            "fax_number": "855-768-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY IN THE LIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "PICILLO",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "BILLING COLLECTION MANAGER",
        "authorized_official_telephone_number": "954-993-7165"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LICENSE",
            "identifier": "10D2085719",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LABORATORY",
            "identifier": "800027831",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.