Organization Active NPI

Core Biotech Systems LLC

  • Clinical Medical Laboratory
  • Lake Park, FL
National Provider Identifier
1932568953
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CORE BIOTECH SYSTEMS LLC
Practice address
1325 S Killian Dr
Unit 1
Lake Park, FL 33403-1965
Phone
(561) 929-9928
NPI assigned
Feb 18, 2016
Last updated
Feb 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Mr. Jesse Peters
Title
Partner
Phone
(561) 929-9928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1325 S Killian Dr
Unit 1
Lake Park, FL 33403-1965

Mailing address

1325 S Killian Dr
Unit 1
Lake Park, FL 33403-1965
Phone (561) 929-9928

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1932568953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S KILLIAN DR",
            "address_2": "UNIT 1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031965",
            "telephone_number": "561-929-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S KILLIAN DR",
            "address_2": "UNIT 1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031965",
            "telephone_number": "561-929-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE BIOTECH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-929-9928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.