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Contact Information

DRS CLACK SPENCER WHITE & MCCORMACK PA
2001 WEBBER ST
SARASOTA, FL34239-5237
 Phone: 941-362-8900
 Fax: 941-362-8987
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for DRS CLACK SPENCER WHITE & MCCORMACK PA

NPI Number 1124354410
LBN Legal business name DRS CLACK SPENCER WHITE & MCCORMACK PA
Authorized official KEVIN MCCORMACK - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/22/2009
Last updated 03/27/2017 - About 9 years ago
Identifiers
FL License # LAB800000813
FL Other LAB 80000813 AHCA CLINICAL LABORATORY LICENSE
FL Other L8218 BCBS OF FLORIDA
FL Other 10D0296120 CMS CLIA CERTIFICATION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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