PRESTIGE LABORATORIES OF FLORIDA LLC (NPI# 1710441811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710441811 |
| Entity Type | Organization |
| Organization Name | PRESTIGE LABORATORIES OF FLORIDA LLC |
| Practice Address |
9878 Clint Moore Rd Ste 206 Boca Raton FL 33496-1037 |
| Mailing Address |
1732 S Congress Ave Ste 346 Palm Springs FL 33461-2140 |
| Practice Telephone | 5613850731 |
| Mailing Telephone | 5613850731 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | WILLIAM STEELE (CEO) |
| Authorized Official Telephone | 5613850731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | OUT OF NET WORK | 0000 | 01 |
| Street Address |
9878 CLINT MOORE RD STE 206 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33496-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972630 | Lms Diagnostics LLC | Radiology | 9878 Clint Moore Rd Ste 206, Boca Raton, FL 33496-1037 | 2020-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193708 | Georgia Management Group | Health Maintenance Organization | 9878 Clint Moore Rd Suite 206, Boca Raton, FL 33496 | 2019-06-17 |
| 1326505710 | Capital Ortho LLC | Durable Medical Equipment & Medical Supplies | 6599 Newport Lake Cir, Boca Raton, FL 33496 | 2019-02-21 |
| 1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
| 1942721782 | Lang Thi Woodmansee | Optometrist | 17940 S Military Trl Ste 400, Boca Raton, FL 33496 | 2017-07-02 |
| 1710325006 | Home Care Assistance of South Florida, LLC | Home Health | 3050 Champion Blvd., Boca Raton, FL 33496 | 2013-06-07 |
| 1568704450 | Gary J Edman | Physician Assistant | 4705 N Federal Highway, Boca Raton, FL 33496 | 2013-03-19 |
| 1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1780834036 | Richard Allen Peshkin | General Practice | 5227-a Lake Catalina Dr. N, Boca Raton, FL 33496 | 2008-09-23 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| Find all providers in zip 33496 | ||||
| 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 |
|---|---|---|---|---|
| 1033655303 | Clarity Lab Solutions, LLC | Clinical Medical Laboratory | 1060 Holland Dr Ste A, Boca Raton, FL 33487-2758 | 2017-01-11 |
| 1255781639 | Biotrinetix | Clinical Medical Laboratory | 1020 Holland Dr, Suite 115, Boca Raton, FL 33487-5717 | 2016-06-16 |
| 1598159204 | Quantum Testing Services, LLC | Clinical Medical Laboratory | 10034 Spanish Isles Blvd Ste C3, Boca Raton, FL 33498-6381 | 2015-03-20 |
| 1457759193 | Element Lab Partners, LLC | Clinical Medical Laboratory | 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 | 2014-12-11 |
| 1740689793 | Transitional Accomodation | Clinical Medical Laboratory | 1446 Nw Boca Raton Blvd, Boca Raton, FL 33432-1628 | 2014-08-15 |
| 1558788182 | Advanced Diagnostic Laboratory Services | Clinical Medical Laboratory | 3100 Nw Boca Raton Blvd Ste 114, Boca Raton, FL 33431-6651 | 2014-03-20 |
| 1225388408 | Aml Diagnostics, Inc | Clinical Medical Laboratory | 154 Nw 16th Street, Boca Raton, FL 33432-1607 | 2012-09-14 |
| 1477811503 | Physicians Lab, Inc. | Clinical Medical Laboratory | 4850 T Rex Ave Ste 150, Boca Raton, FL 33431-4443 | 2012-04-26 |
| 1134499205 | Laboratory Services, LLC | Clinical Medical Laboratory | 108 Nw 4th St, Boca Raton, FL 33432-3826 | 2012-01-06 |
| 1053530402 | On-site Pathology LLC | Clinical Medical Laboratory | 951 Broken Sound Pkwy Nw, Ste 115, Boca Raton, FL 33487-3507 | 2007-04-24 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33496 |
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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.