Ergogenic Labs Llc

LBN: Ergogenic Labs Llc
Ergogenic Labs Llc is an health care organization with primary practice located at 11496 Pierson Rd Ste C6 , Wellington FL 33414-8708. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Ergogenic Labs Llc can be contacted via phone (561) 408-2361, or through Mangini, Scott via phone (561) 408-2361.

Contact Information

Primary practice address
11496 Pierson Rd Ste C6 Wellington FL 33414-8708
Fax: (561) 408-2365
Website:
Authorized official contact:
Name: Mangini, Scott

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X PH27127 Florida
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1093143570
LBN Legal business name Ergogenic Labs Llc
DBA Doing business as Ergogenic Labs Llc
Authorized official Mangini, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2013
Last updated Dec 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093143570 NPPES
Other 2142715 PK

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