Lab Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB DIAGNOSTICS LLC

Practice address

1515 NW 167TH St Ste 400
Miami Gardens, FL 33169-5148

Phone

(786) 522-3999

Fax

(786) 977-4394

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Humberto Neto

Title

Ceo

Phone

(786) 522-3999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1942813050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NW 167TH ST STE 400",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695148",
            "telephone_number": "786-522-3999",
            "fax_number": "786-977-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NW 167TH ST STE 400",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695148",
            "telephone_number": "786-522-3999",
            "fax_number": "786-977-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "NETO",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-522-3999"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.