CCM Media

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CCM MEDIA

Practice address

500 Fairway Dr Ste 208
Deerfield Beach, FL 33441-1877

Phone

(954) 379-2771

NPI assigned

Feb 19, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Steven Churchill

Title

President

Phone

(954) 379-2771

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1982063848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR STE 208",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411877",
            "telephone_number": "954-379-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR STE 208",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411877",
            "telephone_number": "954-379-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCM MEDIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-379-2771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Castro
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• Rebecca Cavaliere
• Alyssa Cavalieri
• Leslie Cedar
• Toshi J. Celaya
• Cell Science Systems, Corp.
• Center for Health Inc
• Centerwell Pharmacy, Inc.

• Clinical Medical Laboratory in Deerfield Beach, FL
• Providers in Deerfield 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 Feb 19, 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.