Active NPI
Fidelity Diagnostics LLC
- Clinical Medical Laboratory
- Deerfield Beach, FL
National Provider Identifier
1043762818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.