Sandestin Lab Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SANDESTIN LAB SERVICES, LLC

Practice address

400 Audubon Dr
Miramar Beach, FL 32550-4594

Phone

(850) 267-6767

NPI assigned

Jan 20, 2014

Organization subpart

Yes

Parent organization

SANDESTIN URGENT CARE, LLCAs reported in NPPES

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

Authorized official

Name

Angel Barber

Title

Administrator

Phone

(850) 267-6767

Specialties & licenses 1

Addresses

Part of

Sandestin Urgent Care LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sandestin Urgent Care, LLC

  • Clinic/Center
  • Miramar Beach, FL
  • NPI 1922341817
  NPPES parent name

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1992127385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 EMERALD COAST PKWY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AUDUBON DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325504594",
            "telephone_number": "850-267-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDESTIN LAB SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANDESTIN URGENT CARE, LLC",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-267-6767"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edmond K Safarian, MD
• Sandestin Apothecary Service, LLC
• Sandestin Clinical Services, LLC
• Sandestin Physical Therapy Services, LLC
• Sandestin Radiology Services, LLC
• Sandestin Urgent Care, LLC
• Santa Rosa Wellness Spa, P.a.
• Miguel Enrique Santana Herrera, MD

• Clinical Medical Laboratory in Miramar Beach, FL
• Providers in Miramar 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 Jan 20, 2014; 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.