Provider Demographics
NPI:1942545421
Name:TESTING MATTERS INC
Entity Type:Organization
Organization Name:TESTING MATTERS INC
Other - Org Name:CHANGE WITHIN INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-272-1633
Mailing Address - Street 1:14001 NW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-6206
Mailing Address - Country:US
Mailing Address - Phone:888-272-1633
Mailing Address - Fax:954-342-2507
Practice Address - Street 1:14001 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33325-6206
Practice Address - Country:US
Practice Address - Phone:888-272-1633
Practice Address - Fax:954-342-2507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL800027098291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIU761AOtherMEDICARE
10D2047594OtherCLIA