Provider Demographics
NPI:1447068069
Name:NSO LAB LLC
Entity type:Organization
Organization Name:NSO LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IZABELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LACHOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-516-1277
Mailing Address - Street 1:2933 W CYPRESS CREEK RD STE 202
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1760
Mailing Address - Country:US
Mailing Address - Phone:561-609-0199
Mailing Address - Fax:
Practice Address - Street 1:14917 LYONS RD STE 110
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-9013
Practice Address - Country:US
Practice Address - Phone:561-410-1053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy