Organization Active NPI

Gramic Research Laboratory, LLC

  • Clinical Medical Laboratory
  • Hollywood, FL
National Provider Identifier
1962479097
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800020218 Issued in FL
Legal business name
GRAMIC RESEARCH LABORATORY, LLC
Practice address
4330 Sheridan St
#201B
Hollywood, FL 33021-1407
Phone
(954) 962-1511
Fax
(954) 962-9830
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Mr. Steve Leykind
Title
Principle
Phone
(718) 669-8297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800020218 FL Primary

Addresses

Primary practice location

4330 Sheridan St
#201B
Hollywood, FL 33021-1407

Mailing address

4330 Sheridan St
#201B
Hollywood, FL 33021-1406
Phone (954) 962-1511

Other identifiers 1

IdentifierTypeStateIssuer
800020218OtherFLCLIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1962479097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 SHERIDAN ST",
            "address_2": "#201B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211406",
            "telephone_number": "954-962-1511",
            "fax_number": "954-962-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 SHERIDAN ST",
            "address_2": "#201B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211407",
            "telephone_number": "954-962-1511",
            "fax_number": "954-962-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMIC RESEARCH LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "LEYKIND",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "718-669-8297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800020218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "800020218",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.