MEDICARE: ORBIT LABS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1164847802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORBIT LABS LLC

Provider Business Mailing Address
First Line	:	5220 HOOD RD
Second Line	:	#101
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-8910
Country	:	US
Telephone Number	:	561-578-8600
Fax Number	:

Provider Business Practice Location Address
First Line	:	5407 N HAVERHILL RD
Second Line	:	#345
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-7008
Country	:	US
Telephone Number	:	561-578-8600
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ADMINISTRATIVE OFFICER
Name	:	TIMOTHY LOCEFF
Credential	:
Telephone Number	:	561-578-8600

Provider Enumeration Date	:	03/04/2014
Last Update Date	:	03/04/2014

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