Smart Lab, Llc
LBN: Smart Lab Llc
Smart Lab, Llc is an health care organization with primary practice located at 10385 Ironwood Rd Suite 130, Palm Beach Gardens FL 33410-4291. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
Smart Lab Llc can be contacted via phone (561) 513-8440, or through Wayne, Justin Morgan via phone (561) 513-8440.
Contact Information
Primary practice address
10385 Ironwood Rd Suite 130
Palm Beach Gardens FL 33410-4291
Phone: (561) 513-8440
Fax: (561) 370-6036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
| NPI number | 1770980062 |
|---|---|
| LBN Legal business name | Smart Lab Llc |
| DBA Doing business as | Smart Lab, Llc |
| Authorized official | Wayne, Justin Morgan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 2nd, 2014 |
| Last updated | Jun 30th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770980062 | NPPES |
| California | Other | COS 00800603 | STATE LICENSE |
| California | MEDICAID | 100049019 | STATE LICENSE |
| California | MEDICAID | 0155902 | STATE LICENSE |
| California | Other | 800027631 | STATE LICENSE |
| California | MEDICAID | 1770980062 | STATE LICENSE |
| California | Other | 34458 | STATE LICENSE |
| California | Other | P01611847 | STATE LICENSE |
| California | MEDICAID | 1025400 | STATE LICENSE |
| California | MEDICAID | 015049900 | STATE LICENSE |
| California | Other | IH908A | STATE LICENSE |
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