Organization Active NPI

Regional Osteoporosis Center of Stuart, LLC

  • Clinical Medical Laboratory
  • Stuart, FL
National Provider Identifier
1013003458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
JR36022300 Issued in FL
Legal business name
REGIONAL OSTEOPOROSIS CENTER OF STUART, LLC
Practice address
2081 SE Ocean Blvd
Suite 1a
Stuart, FL 34996-3347
Phone
(772) 286-9779
Fax
(772) 283-0287
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Darrell N Fiske, M.D.NPI 1831128735
Title
Medical Director
Phone
(772) 286-9779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X JR36022300 FL Primary

Addresses

Primary practice location

2081 SE Ocean Blvd
Suite 1a
Stuart, FL 34996-3347

Mailing address

2081 SE Ocean Blvd
Suite 1a
Stuart, FL 34996-3347
Phone (772) 286-9779

National Provider Directory

National Provider Directory

Locations

2081 SE Ocean Blvd
Ste 3B
Stuart, FL 34996
Phone (772) 283-8380

2081 SE Ocean Blvd
Ste 1A
Stuart, FL 34996
Phone (772) 286-9779

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013003458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 SE OCEAN BLVD",
            "address_2": "SUITE 1A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963347",
            "telephone_number": "772-286-9779",
            "fax_number": "772-283-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 SE OCEAN BLVD",
            "address_2": "SUITE 1A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963347",
            "telephone_number": "772-286-9779",
            "fax_number": "772-283-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL OSTEOPOROSIS CENTER OF STUART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISKE",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "772-286-9779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "JR36022300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.