Southern Medical Laboratories LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTHERN MEDICAL LABORATORIES LLC.

Practice address

2328 10TH Ave N Ste 203
Lake Worth, FL 33461-6612

Phone

(561) 247-1838

Fax

(561) 516-6344

NPI assigned

Nov 16, 2017

Last updated

Nov 2, 2019By 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

Mr. Ian Charles Gropper

Title

Ceo

Phone

(561) 251-8700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572652800000",
    "number": "1942713623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 10TH AVE N STE 203",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616612",
            "telephone_number": "561-247-1838",
            "fax_number": "561-516-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 10TH AVE N STE 203",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616612",
            "telephone_number": "561-247-1838",
            "fax_number": "561-516-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL LABORATORIES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2019-11-02",
        "status": "A",
        "authorized_official_last_name": "GROPPER",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-251-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Home Care Services, Inc.
• Jennifer N/a Southern, BEHAVIOR ASSISTANT
• Sovereign Healthcare of Medicana, LLC (Medicana Nursing & Rehab Center)
• Alexis Giana Spalding, MOT, OTR/L
• Sharon Claudine Speare Holmes
• Earl Spence Jr., M.ED, MCAP

• Clinical Medical Laboratory in Lake Worth, FL
• Providers in Lake Worth, 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 Nov 2, 2019; 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.