Emerald Diagnostic Services Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EMERALD DIAGNOSTIC SERVICES CORP

Practice address

7911 NW 72ND Ave
Suite 206
Medley, FL 33166-2227

Phone

(786) 536-4439

Fax

(786) 536-6572

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Edward Escoto

Title

President

Phone

(786) 536-4439

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1144579103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE",
            "address_2": "SUITE 206",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662227",
            "telephone_number": "786-536-4439",
            "fax_number": "786-536-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE",
            "address_2": "SUITE 206",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662227",
            "telephone_number": "786-536-4439",
            "fax_number": "786-536-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD DIAGNOSTIC SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "ESCOTO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-536-4439"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.