Liberty House Inc

LBN: Liberty House Inc
Liberty House Inc is an health care organization with primary practice located at 504 Se 22Nd St , Fort Lauderdale FL 33316-3472. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Liberty House Inc can be contacted via phone (954) 523-1167, or through Underwood, Robert via phone (954) 523-1167.

Contact Information

Primary practice address
504 Se 22Nd St Fort Lauderdale FL 33316-3472
Phone: (954) 523-1167
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Underwood, Robert
Phone: (954) 523-1167

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 10D207494 Florida

Profile Details

NPI number 1124446703
LBN Legal business name Liberty House Inc
DBA Doing business as
Authorized official Underwood, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2014
Last updated Apr 1st, 2014 - 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 1124446703 NPPES
Florida Other 10D207494 CLIA

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