COMPLAB LLC (NPI# 1093072365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093072365 |
| Entity Type | Organization |
| Organization Name | COMPLAB LLC |
| Practice Address |
2 N Tuttle Ave Sarasota FL 34237-6328 |
| Mailing Address |
Po Box 14802 Bradenton FL 34280-4802 |
| Practice Telephone | 9412433855 |
| Practice Fax Number | 9412433854 |
| Mailing Telephone | 8552333755 |
| Mailing Fax Number | 9412433854 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |
| Authorized Official Name | JEREMY WALDRIP (OWNER) |
| Authorized Official Telephone | 9412848355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMPLAB LLC | 703 Ocean Blvd Ste 301, Hampton, NH 03842-4300 |
| Street Address |
2 N TUTTLE AVE |
| City | SARASOTA |
| State | FL |
| Zip Code | 34237-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629183595 | Mri Associates of Sarasota LLC | Clinic/Center | 2 N Tuttle Ave, Sarasota, FL 34237-6328 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595004 | Brett Sondag | Counselor | 2033 Wood St., Ste. 215, 218, 220, Sarasota, FL 34237 | 2019-06-05 |
| 1730608274 | Stacy Lee Panzella | Behavior Technician | 2461 8th Street, Unit 52, Sarasora, FL 34237 | 2017-09-15 |
| 1871010942 | Katy Darlene Wendel | Registered Nurse | 1231 N. Tuttle Avenue, Sarasota, FL 34237 | 2017-08-29 |
| 1639699663 | Mark W. Phillips | Nurse Practitioner | 1 S School Ave Ste 200, Sarasota, FL 34237 | 2017-06-21 |
| 1295075281 | Baltimore Orioles Limited Partnership | Non-Pharmacy Dispensing Site | 1090 Euclid Ave, Ed Smith-baltimore Orioles-athletic Training Department, Sarasota, FL 34237 | 2013-02-27 |
| 1164786877 | Robin Susan Bernstein | Counselor | 520 Payne Pkwy, Sarasota, FL 34237 | 2012-06-27 |
| 1598053787 | Linda B Sherr | Counselor | 504 Payne Parkway, Sarasota, FL 34237 | 2011-07-21 |
| 1245463405 | Lydia Gay Corn | Internal Medicine | 80 S Tuttle Avenue, Suite 100, Sarasota, FL 34237 | 2009-09-03 |
| 1316187156 | John R Picken Md | General Practice | 3530 Fruitville Road, Sarasoa, FL 34237 | 2009-03-05 |
| 1124299193 | Manav Malik | Dentist | 3103 Fruitville Rd, Sarasota, FL 34237 | 2008-03-18 |
| Find all providers in zip 34237 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780758599 | Richard P Bell I | Point of Service | 6384 N Lockwood Ridge Rd, Sarasota, FL 34243-2531 | 2006-11-20 |
| 1306242482 | Mengelberg Dental Arts. Inc | Point of Service | 5500 Bee Ridge Rd, Suite 101, Sarasota, FL 34233-1502 | 2014-11-17 |
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| 1972163079 | Numethodsmd LLC | Point of Service | 5975 Sunset Dr Ste 605, South Miami, FL 33143-5174 | 2019-06-19 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.