Citywide Medical Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CITYWIDE MEDICAL LAB LLC

Practice address

1000 Park Centre Blvd Ste 150
Miami Gardens, FL 33169-5352

Phone

(305) 768-9695

Fax

(305) 768-9698

NPI assigned

May 28, 2020

Organization subpart

No

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

Authorized official

Name

Natalya Bilik

Title

Owner

Phone

(305) 768-9695

Specialties & licenses 1

Addresses

Other names 1

• Citywide Medical Lab LLC Former legal business name

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1932723699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD STE 150",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695352",
            "telephone_number": "305-768-9695",
            "fax_number": "305-768-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD STE 150",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695352",
            "telephone_number": "305-768-9695",
            "fax_number": "305-768-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE MEDICAL LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "BILIK",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-768-9695"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citywide Medical Lab LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Citywide Medical Lab LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Medical Laboratory in Miami Gardens, FL
• Providers in Miami Gardens, 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 May 10, 2022; 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.