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BANYAN SOBER LIVING INC. NPI 1285978338


NPI Information

NPI: 1285978338
Provider Name: BANYAN SOBER LIVING, INC.
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
2500 E COMMERCIAL BLVD
SUITE D
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 746-8232
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BANYAN SOBER LIVING, INC. is a clinical medical laboratory in Fort Lauderdale, FL. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. BANYAN SOBER LIVING, INC. NPI is 1285978338. The provider is registered as an organization entity type.

The provider's business location address is:

2500 E COMMERCIAL BLVD
SUITE D
FORT LAUDERDALE, FL
ZIP 33308-124
Phone: (954) 746-8232
Fax: (954) 746-8981

The provider's authorized official is Neisha Zaffuto .
The authorized official title is Business Manager and has the following contact phone number (954) 746-8232.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 1/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2291U00000XClinical Medical Laboratory10D2047989FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110D2047989OTHERFLORIDACLIA CERTIFICATE OF WAIVER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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