=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972289049
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL LABS TODAY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2023
-----------------------------------------------------
Last Update Date | 07/17/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5291 OFFICE PARK BLVD
-----------------------------------------------------
City | BRADENTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34203-3440
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-280-5227
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5291 OFFICE PARK BLVD
-----------------------------------------------------
City | BRADENTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34203-3440
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-580-6673
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | JOHN ROJAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 407-580-6673
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------