Advanced Labs of SW Florida, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800027766 Issued in FL

Legal business name

ADVANCED LABS OF SW FLORIDA, LLC

Practice address

6120 Winkler Rd
Suite J
Fort Myers, FL 33919-8125

Phone

(239) 789-4130

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael Frey, M.D.NPI 1780672543

Title

Manager

Phone

(239) 789-4130

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael E Frey, MD

  • Interventional Pain Medicine Physician
  • Fort Myers, FL
  • NPI 1780672543
  NPD (past) Authorized official

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1972989424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7131",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339190131",
            "telephone_number": "239-789-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WINKLER RD",
            "address_2": "SUITE J",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198125",
            "telephone_number": "239-789-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LABS OF SW FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-789-4130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800027766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adv an Ced Florida Medical Group, Corp.
• Advance Behavior Institute Inc
• Advance Health Solutions, Inc.
• Advanced Heart Center LLC
• Advanced Home Oxygen & Medical Equipment Inc
• Advanced Lift Systems
• Advanced Pain Management Specialist
• Advanced Pain Management Specialists
• Advanced Physical Therapy & Rehab of Lee, LLC
• Advanced Podiatry and Neuropathy Center LLC

• Clinical Medical Laboratory in Fort Myers, FL
• Providers in Fort Myers, 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 Sep 14, 2015; 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.