NPI Code Detail JSON Logo

1609455468 NPI number — F B S SCREENING LLC

NPI Number: 1609455468
Health Care Provider/Practitioner: F B S SCREENING LLC

Information about “1609455468” NPI (F B S SCREENING LLC) exists in 1609455468 in HTML format HTML  |  1609455468 in plain Text format TXT  |  1609455468 in PDF (Portable Document Format) PDF  |  1609455468 in an XML format XML  formats.

NPI Number : 1609455468 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609455468",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "F B S SCREENING LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "130 TIBET AVE APT 203",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAVANNAH",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31406-9030",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-798-4304",
    "MailingAddressFaxNumber": "912-235-2694",
    "FirstLinePracticeLocationAddress": "130 TIBET AVE APT 203",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAVANNAH",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31406-9030",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-798-4304",
    "PracticeLocationAddressFaxNumber": "912-235-2694",
    "EnumerationDate": "04/07/2021",
    "LastUpdateDate": "04/07/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GORDON",
    "AuthorizedOfficialFirstName": "DARLENE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "LAB DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "404-798-4304",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "247ZC0005X",
          "TaxonomyName": "Clinical Laboratory Director (Non-physician)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "291U00000X",
          "TaxonomyName": "Clinical Medical Laboratory",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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