Stark Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

STARK DIAGNOSTICS LLC

Practice address

7112 W McNab Rd
Tamarac, FL 33321-5306

Phone

(754) 703-0363

NPI assigned

Apr 24, 2024

Organization subpart

No

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

Authorized official

Name

Arkan RadeefNPI 1720834500

Title

Owner

Phone

(754) 703-0363

Specialties & licenses 2

Addresses

Practitioners 1

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

• Arkan Radeef

  • Pathology Specialist/Technologist
  • Tamarac, FL
  • NPI 1720834500

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1073369708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 NW 70TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215306",
            "telephone_number": "754-703-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "RADEEF",
        "authorized_official_first_name": "ARKAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-703-0363"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.