1. Home
  2. Directory
  3. New Jersey
  4. Marlton
  5. Clinic Center
  6. NPI Profile

FULCRUM PERFORMANCE LAB, LLC
NPI 1205464823
Clinic/Center in Marlton, NJ

Active since March 30, 2020
75 S MAPLE AVE, MARLTON, NJ 08053(856) 607-2400 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 17, 2020, Jun 29, 2020, Mar 30, 2020 (3 updates tracked since 2020).

About Fulcrum Performance Lab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULCRUM PERFORMANCE LAB, LLC (NPI 1205464823) is a healthcare organization registered as a clinic/center in Marlton, New Jersey and active in the NPI registry since March 2020. The organization lists Charles Bruce Morris, Chairman / Ceo, as its authorized official.

NPPES Registry Identity

NPI1205464823
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFULCRUM PERFORMANCE LAB, LLC
Location Address75 S MAPLE AVEMarlton, NJ 08053-2032
Mailing Address75 S Maple AveMarlton, NJ 08053-2032 · (856) 607-2400
Phone(856) 607-2400
Organization SubpartNo
Authorized OfficialCharles Bruce MorrisChairman / Ceo · (609) 284-5456
Enumeration DateMarch 30, 2020
Last NPPES UpdateJuly 17, 20203 updates tracked since enumeration
NPPES CertifiedJuly 17, 2020
✔ NPI 1205464823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
75 S MAPLE AVE, Marlton, NJ 08053
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fulcrum Performance Lab, LLC's NPI number?

The NPI number for Fulcrum Performance Lab, LLC is 1205464823. It was assigned to this organization in the NPPES registry on March 30, 2020.

Where is Fulcrum Performance Lab, LLC located?

Fulcrum Performance Lab, LLC is located at 75 S Maple Ave, Marlton, NJ 08053. The listed phone number is (856) 607-2400.

What is Fulcrum Performance Lab, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Fulcrum Performance Lab, LLC was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.