NATURE COAST PRIMARY CARE LAB LLC (NPI# 1114534385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114534385 |
| Entity Type | Organization |
| Organization Name | NATURE COAST PRIMARY CARE LAB LLC |
| Practice Address |
7562 W Gulf To Lake Hwy Crystal River FL 34429-7840 |
| Mailing Address |
4918 Sw 107th Loop Ocala FL 34476-4723 |
| Practice Telephone | 3524364328 |
| Practice Fax Number | 3522600960 |
| Mailing Telephone | 3523620627 |
| Mailing Fax Number | 8775739013 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | MR. EDWARD R KOP (DELEGATED OFFICIAL) |
| Authorized Official Telephone | 3523620627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
7562 W GULF TO LAKE HWY |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34429-7840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487787669 | Patti Keller | Clinical Nurse Specialist | 7562 W Gulf To Lake Hwy, Crystal River, FL 34429-7840 | 2007-03-14 |
| 1033710579 | Triple Aim Medical Solutions, LLC | Family Medicine | 7562 W Gulf To Lake Hwy, Crystal River, FL 34429-7840 | 2020-11-02 |
| 1497204150 | Dennis Montfort | Nurse Practitioner | 7562 W Gulf To Lake Hwy, Crystal River, FL 34429-7840 | 2016-09-22 |
| 1013377795 | Nature Coast High Risk Medical Management LLC | Family Medicine | 7562 W Gulf To Lake Hwy, Crystal River, FL 34429-7840 | 2016-02-24 |
| 1508243023 | Ashley Thomas | Nurse Practitioner | 7562 W Gulf To Lake Hwy, Crystal River, FL 34429-7840 | 2015-05-05 |
| 1285995043 | Nature Coast Primary Care, LLC | Family Medicine | 7562 W Gulf To Lake Hwy, Crystal River, FL 34429-7840 | 2012-06-07 |
| 1588813661 | Kenneth Leo Savage Jr. | Family Medicine | 7562 W Gulf To Lake Hwy, Crystal River, FL 34429-7840 | 2008-09-15 |
| 1114125101 | Janet K Slawinski | Nurse Practitioner | 7562 W Gulf To Lake Hwy, Crystal River, FL 34429-7840 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324386 | Sydney M Mergler | Specialist/Technologist | 315 Ne 10th St, Crystal River, FL 34429 | 2020-07-23 |
| 1497255814 | Plantation Medical Care, Pa | Clinic/Center | 9030 W Fort Island Trl Ste 11b, Crystal River, FL 34429 | 2018-02-13 |
| 1356864599 | Jeri Leigh Anderson | Family Medicine | 6199 W. Gulf To Lake Hwy, Crystal River, FL 34429 | 2017-07-19 |
| 1982011706 | Bambi Ann Heyer | Nurse Practitioner | 659 Ne Hwy 19 Unit 1, Crystal River, FL 34429 | 2014-07-14 |
| 1982977120 | Life Soulutions | Community/Behavioral Health | 427 Ne 3rd St Ste C, Crystal River, FL 34429 | 2012-02-20 |
| 1073844296 | Richard C Swanson,dmd Pa | Clinic/Center | 1815 Se Hwy 19, Crystal River, FL 34429 | 2010-01-28 |
| 1710116520 | Albert M. Boholst | Surgery | 730 S.e. 5th Terrace, Crystal River, FL 34429 | 2009-07-14 |
| 1033353453 | Claire Annette Wirt | Mechanotherapist | 1925 Se Hwy 19, Crystal River, FL 34429 | 2009-04-29 |
| 1811134067 | John D. Hosner, D.d.s., P.a. | Dentist | 1118 N. Suncoast Blvd., Crystal River, FL 34429 | 2009-01-09 |
| 1396981528 | Meadowcrest Family Physicians, P.a. | Family Medicine | 1250 N Vantage Pt Dr, Crystal River, FL 34429 | 2008-12-17 |
| Find all providers in zip 34429 | ||||
| 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 |
|---|---|---|---|---|
| 1447579057 | Superior Diagnostic Studies | Clinical Medical Laboratory | 9030 W Ft Is Trl Ste 11a, Crystal River, FL 34429-2415 | 2010-05-21 |
| 1770128472 | Meadowcrest Molecular Diagnostics LLC | Clinical Medical Laboratory | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 | 2019-11-18 |
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| 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 | CRYSTAL RIVER |
| Zip Code | 34429 |
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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.