Organization Active NPI

Fidelity Diagnostics LLC

  • Clinical Medical Laboratory
  • Deerfield Beach, FL
National Provider Identifier
1043762818
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FIDELITY DIAGNOSTICS LLC
Practice address
1701 Green Road
Suite A3
Deerfield Beach, FL 33064
Phone
(954) 350-0104
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Stelios Findrilakis
Title
Manager
Phone
(754) 220-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1701 Green Road
Suite A3
Deerfield Beach, FL 33064

Mailing address

1701 Green Road
Suite A3
Deerfield Beach, FL 33064

National Provider Directory

National Provider Directory

Locations

1701 Green Rd
Ste A3
Deerfield Beach, FL 33064
Phone (863) 228-1750

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1043762818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 GREEN ROAD",
            "address_2": "SUITE A3",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GREEN ROAD",
            "address_2": "SUITE A3",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-350-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "FINDRILAKIS",
        "authorized_official_first_name": "STELIOS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "754-220-5009"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.