WEST BROWARD CLINICAL LABORATORY, L.L.C. (NPI# 1013083468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013083468 |
| Entity Type | Organization |
| Organization Name | WEST BROWARD CLINICAL LABORATORY, L.L.C. |
| Practice Address |
4850 W Oakland Park Blvd Suite 203 Lauderdale Lakes FL 33313-7260 |
| Practice Telephone | 9547393030 |
| Practice Fax Number | 9547396010 |
| Mailing Telephone | 9547393030 |
| Mailing Fax Number | 9547396010 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EDWARD A. DAUER (PRESIDENT) |
| Authorized Official Telephone | 9547390978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | FL | Laboratories |
| Street Address |
4850 W OAKLAND PARK BLVD SUITE 203 |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33313-7260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344493 | Humaira V Khan | Internal Medicine | 4850 W Oakland Park Blvd, Ste 132, Lauderdale Lakes, FL 33313-7268 | 2005-05-23 |
| 1891329868 | Melissa Valdes | Nurse Practitioner | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2020-02-27 |
| 1083155931 | Sandra Arlenne Llosa Peralta | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2017-03-12 |
| 1740730688 | Richard B Polakoff Md Pa | Exclusive Provider Organization | 4850 W Oakland Park Blvd, Ste 143, Lauderdale Lakes, FL 33313-7260 | 2016-10-04 |
| 1043765837 | Ereny Hanna | Physical Therapist | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2016-08-22 |
| 1538522651 | Angela Hayes | Physical Therapy Assistant | 4850 W Oakland Park Blvd, 201, Lauderdale Lakes, FL 33313-7260 | 2016-04-05 |
| 1417314204 | David Tiderman | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2016-01-25 |
| 1992162820 | Nader Henry | Pharmacist | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2016-01-22 |
| 1912397464 | Amber Mead | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2015-02-04 |
| 1386059517 | Blue Water Pain Solutions, Pa | Anesthesiology | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| 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 |
|---|---|---|---|---|
| 1942261854 | Florida Institute of Health Ltd Lllp | Clinical Medical Laboratory | 4850 West Oakland Park Blvd, Suite 203, Lauderdale Lakes, FL 33316 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316994 | Gryffin's Talon LLC | Clinical Medical Laboratory | 5601 Corporate Way Ste 108, West Palm Beach, FL 33407-2041 | 2020-11-06 |
| 1811598899 | Precision Diagnostix LLC | Clinical Medical Laboratory | 917 Se Lincoln Ave, Stuart, FL 34994-3810 | 2020-11-05 |
| 1134729700 | New Millennium Training LLC | Clinical Medical Laboratory | 20124 Central Ave W, Blountstown, FL 32424-1943 | 2020-10-31 |
| 1962002501 | Impak Diagnostics Laboratory 'llc' | Clinical Medical Laboratory | 5885 Margate Blvd, Margate, FL 33063-2834 | 2020-10-30 |
| 1346840485 | Millenia Advanced Scientific LLC | Clinical Medical Laboratory | 4303 Vineland Rd Ste F10, Orlando, FL 32811-7372 | 2020-10-28 |
| 1922607886 | Emed Labs LLC | Clinical Medical Laboratory | 990 Biscayne Blvd Ste 1501, Miami, FL 33132-1559 | 2020-10-21 |
| 1033718333 | Jmj Labs LLC Dba Arcpoint Labs of Saint Petersburg | Clinical Medical Laboratory | 4713 66th St N, Kenneth City, FL 33709-3113 | 2020-10-19 |
| 1134728405 | Biolabs Diagnostics LLC | Clinical Medical Laboratory | 7865 Sw Ellipse Way, Stuart, FL 34997-7247 | 2020-10-19 |
| 1013516319 | Axe Analytics, LLC | Clinical Medical Laboratory | 917 Se Lincoln Ave Ste B, Stuart, FL 34994-3810 | 2020-10-19 |
| 1497352082 | Medlab Diagnostics, LLC | Clinical Medical Laboratory | 1430 S Dixie Hwy Ste 320, Coral Gables, FL 33146-3175 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
Please comment or provide details below to improve the information on WEST BROWARD CLINICAL LABORATORY, L.L.C..
| 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.