Provider Demographics
NPI:1578045605
Name:OASIS MEDICAL, LLC
Entity Type:Organization
Organization Name:OASIS MEDICAL, LLC
Other - Org Name:CLARITY MEDLAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-330-6725
Mailing Address - Street 1:2238E W ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4637
Mailing Address - Country:US
Mailing Address - Phone:561-330-4725
Mailing Address - Fax:561-330-4765
Practice Address - Street 1:2238E W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4637
Practice Address - Country:US
Practice Address - Phone:561-330-4725
Practice Address - Fax:561-330-4765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory