Epic Reference Labs, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800027064 Issued in FL

Legal business name

EPIC REFERENCE LABS, INC.

Practice address

7960 Central Industrial Dr
Suite 120
Riviera Beach, FL 33404-3444

Phone

(561) 249-4434

NPI assigned

Aug 6, 2013

Last updated

May 16, 2016By 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

Sri Bharat Madireddy, PH.D.

Title

Ceo

Phone

(561) 249-4317

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1952733438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 CENTRAL INDUSTRIAL DR",
            "address_2": "SUITE 120",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334043444",
            "telephone_number": "561-249-4434",
            "fax_number": "561-557-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 CENTRAL INDUSTRIAL DR",
            "address_2": "SUITE 120",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334043444",
            "telephone_number": "561-249-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC REFERENCE LABS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "MADIREDDY",
        "authorized_official_first_name": "SRI",
        "authorized_official_middle_name": "BHARAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-249-4317",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800027064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "HZ205A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2067916",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Riviera Beach, FL
• Providers in Riviera Beach, 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 16, 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.