Organization Active NPI

Star Diagnostic Treatment and Ambulatary Services

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1134375686
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC5605 Issued in FL
Legal business name
STAR DIAGNOSTIC TREATMENT AND AMBULATARY SERVICES
Practice address
1840 W 49St
311 B
Hialeah, FL 33012
Phone
(305) 818-0600
Fax
(305) 818-0620
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Mr. Gerald Amado, M.D
Title
Vice President
Phone
(305) 818-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC5605 FL Primary

Addresses

Primary practice location

1840 W 49St
311 B
Hialeah, FL 33012

Mailing address

1840 W 49TH St
311 B
Hialeah, FL 33012-2942
Phone (305) 818-0600

National Provider Directory

National Provider Directory
Tax ID family
Star Diagnostic Treatment Ambulatory Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1840 W 49th St
#311B
Hialeah, FL 33012
Phone (305) 818-0600

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1134375686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST",
            "address_2": "311 B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122942",
            "telephone_number": "305-818-0600",
            "fax_number": "305-818-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49ST",
            "address_2": "311 B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-818-0600",
            "fax_number": "305-818-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DIAGNOSTIC TREATMENT AND AMBULATARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "AMADO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-818-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC5605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.