SOUTHERN MEDICAL LABORATORIES LLC. (NPI# 1942713623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942713623 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MEDICAL LABORATORIES LLC. |
| Practice Address |
2328 10th Ave N Ste 203 Lake Worth FL 33461-6612 |
| Practice Telephone | 5612471838 |
| Practice Fax Number | 5615166344 |
| Mailing Telephone | 5612471838 |
| Mailing Fax Number | 5615166344 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2019-11-02 |
| Authorized Official Name | MR. IAN CHARLES GROPPER (CEO) |
| Authorized Official Telephone | 5612518700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
2328 10TH AVE N STE 203 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-6612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295159499 | D-way To Go LLC | Clinical Medical Laboratory | 3486 Rostan Ln, Lake Worth, FL 33461-2839 | 2014-02-07 |
| 1477976918 | Lifeline To Recovery Inc | Clinical Medical Laboratory | 2290 10th Ave N Ste 201, Lake Worth, FL 33461-6609 | 2014-02-03 |
| 1194067975 | Way of Life Inc | Clinical Medical Laboratory | 1015 N F St, Lake Worth, FL 33460-2152 | 2013-03-20 |
| 1811232523 | Fishermen's Way LLC | Clinical Medical Laboratory | 131 S Federal Hwy, Lake Worth, FL 33460-4286 | 2012-12-06 |
| 1679829204 | South Florida Laboratory, LLC | Clinical Medical Laboratory | 3395 Lakeworth Rd, Suite 1, Lake Worth, FL 33463 | 2012-08-01 |
| 1285957951 | Pb Laboratories LLC | Clinical Medical Laboratory | 7451 S Military Trl, Lake Worth, FL 33463-7800 | 2010-03-09 |
| 1073610275 | Flow Path Laboratories Inc | Clinical Medical Laboratory | 7449 South Military Trail, Lake Worth, FL 33463 | 2006-09-20 |
| 1851708630 | Millennium Health Services, Inc | Clinical Medical Laboratory | 4949 S Congress Ave, Suite B, Lake Worth, FL 33461-4731 | 2014-07-14 |
| 1700228442 | South Florida Treatment Center | Clinical Medical Laboratory | 3360 Gondolier Way, Lake Worth, FL 33462-3622 | 2013-07-23 |
| 1952601411 | Sunrise Diagnostics Group, LLC | Clinical Medical Laboratory | 3185 Boutwell Rd, Lake Worth, FL 33461-2610 | 2010-10-29 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
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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.