FLORIDA CLINICAL LABORATORY, INC


Address: 5912 Breckenridge Pkwy, Tampa, FL 33610-4200
Phone: 9045621401

FLORIDA CLINICAL LABORATORY, INC (NPI# 1104238302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104238302
Entity Type Organization
Organization Name FLORIDA CLINICAL LABORATORY, INC
Practice Address 5912 Breckenridge Pkwy
Tampa
FL 33610-4200
Mailing Address 481 Edward H Ross Dr
Elmwood Park
NJ 07407-3118
Practice Telephone 9045621401
Practice Fax Number 9046721603
Mailing Telephone 2017912600
Mailing Fax Number 2017911941
Enumeration Date 2014-05-22
Last Update Date 2018-04-11
Authorized Official Name MR. WARREN W ERDMANN (COO; EXECUTIVE VP)
Authorized Official Telephone 2017912600
Is Organization Subpart Y
Parent Organization Name BIO-REFERENCE LABORATORIES, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 800025918 FL Laboratories

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417062076 Florida Clinical Laboratory, Inc Clinical Medical Laboratory 27 E Hibiscus Blvd Ste C, Melbourne, FL 32901-3171 2006-08-21

Office Location

Street Address 5912 BRECKENRIDGE PKWY
City TAMPA
State FL
Zip Code 33610-4200

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1619401338 Dedicated Senior Medical Center East Tampa, LLC. Non-Pharmacy Dispensing Site 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 2017-04-19
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

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1770081507 Eccolab Group Co Clinical Medical Laboratory 2801 W Waters Ave Ste 1b, Tampa, FL 33614-1866 2018-01-26
1861939183 Cbs Labs of Tampa LLC Clinical Medical Laboratory 1916 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 2017-01-24
1750835278 G. Cross Medical Labs, LLC Clinical Medical Laboratory 2901 N Dale Mabry Hwy, #612, Tampa, FL 33607-2412 2016-08-12
1477906022 Atlas Diagnostic Holdings, LLC Clinical Medical Laboratory 4023 N Armenia Ave Ste 101, Tampa, FL 33607-1013 2016-07-19
1053793026 University Medical Service Association Inc Clinical Medical Laboratory 4107 Usf Cedar Cir, Ste 171, Tampa, FL 33620-0001 2015-06-25
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City TAMPA
Zip Code 33610

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Dataset Information

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.

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