OrganizationActive
Liberty House Inc
NPI 1124446703 · Clinical Medical Laboratory · Fort Lauderdale, FL
Provider details
- NPI number
- 1124446703
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Robert Underwood, Manager(954) 523-1167
- License
- 10D207494 (FL)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
504 Se 22nd St
Fort Lauderdale, FL 33316-3472
Phone: (954) 523-1167
Street-level locationGet directions
Mailing address
1421 Nw 48th Dr
Boca Raton, FL 33431-3335
Registry dates
- Enumerated
- 2014-04-01
- Last updated
- 2014-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.