UNITED CLINICAL LABORATORY LLC (NPI# 1558745422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558745422 |
| Entity Type | Organization |
| Organization Name | UNITED CLINICAL LABORATORY LLC |
| Practice Address |
2257 Vista Pkwy Suite 2 West Palm Beach FL 33411-2724 |
| Mailing Address |
2257 Vista Parkway Suite 2 West Palm Beach FL 33411 |
| Practice Telephone | 8442914292 |
| Practice Fax Number | 5616169087 |
| Mailing Telephone | 8442914292 |
| Mailing Fax Number | 5616169087 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | MR. KIRILL VESSELOV (CEO) |
| Authorized Official Telephone | 8442914292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | FL | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | United Clinical Laboratory LLC | 2257 Vista Parkway, Suite 2, West Palm Beach, FL 33411 |
| Street Address |
2257 VISTA PKWY SUITE 2 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33411-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| 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 |
|---|---|---|---|---|
| 1093316994 | Gryffin's Talon LLC | Clinical Medical Laboratory | 5601 Corporate Way Ste 108, West Palm Beach, FL 33407-2041 | 2020-11-06 |
| 1528678604 | American Scientific Laboratories | Clinical Medical Laboratory | 1860 Old Okeechobee Rd Ste 508, West Palm Beach, FL 33409-5242 | 2020-08-04 |
| 1952823304 | Capital Advantage Diagnostics | Clinical Medical Laboratory | 1860 Okeechobee Rd Ste 510, West Palm Beach, FL 33409-5242 | 2017-07-07 |
| 1760937767 | Sci Lab, LLC | Clinical Medical Laboratory | 1551 Forum Pl Ste 300f, West Palm Beach, FL 33401-2307 | 2016-08-18 |
| 1366811648 | Sandpiper Labs LLC | Clinical Medical Laboratory | 1509 Prosperity Farms Rd Ste 107, West Palm Beach, FL 33403-2025 | 2015-09-17 |
| 1578931085 | Quality Analysis LLC | Clinical Medical Laboratory | 1509 Prosperity Farms Rd Ste 105, West Palm Beach, FL 33403-2025 | 2015-09-14 |
| 1245615863 | 2110 West Palm Facility,llc | Clinical Medical Laboratory | 2110 N Florida Mango Rd, West Palm Beach, FL 33409-6492 | 2015-07-24 |
| 1457731739 | Trx Labs LLC | Clinical Medical Laboratory | 1509 Prosperity Farms Rd Ste 101, West Palm Beach, FL 33403-2025 | 2015-06-02 |
| 1427451400 | Southern Laboratory Services LLC | Clinical Medical Laboratory | 4047 Okeechobee Blvd Ste 216, West Palm Beach, FL 33409-3237 | 2014-10-03 |
| 1447662937 | Jsw Labs, Inc. | Clinical Medical Laboratory | 603 Village Blvd Ste 210, West Palm Beach, FL 33409-1972 | 2014-06-02 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33411 |
Please comment or provide details below to improve the information on UNITED CLINICAL LABORATORY LLC.
| 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.