Organization Active NPI

Lake Nona Diagnostics LLC

  • Clinical Medical Laboratory
  • Deerfield Beach, FL
National Provider Identifier
1144891078
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LAKE NONA DIAGNOSTICS LLC
Practice address
1701 Green Rd Ste A4
Deerfield Beach, FL 33064-1074
Phone
(754) 227-7006
Fax
(754) 755-3430
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Stelios Findrilakis
Title
President
Phone
(561) 577-7641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1701 Green Rd Ste A4
Deerfield Beach, FL 33064-1074

Mailing address

1701 Green Rd Ste A4
Deerfield Beach, FL 33064-1074
Phone (754) 227-7006

Other practice location 1

6555 Sanger Rd Rm No223
Orlando, FL 32827-7584
Phone (754) 227-7006

National Provider Directory

National Provider Directory

Locations

1701 Green Rd
Ste A4
Deerfield Beach, FL 33064
Phone (561) 577-7641

6555 Sanger Rd
Rm NO223
Orlando, FL 32827
Phone (754) 227-7006

6555 Sanger Rd
Orlando, FL 32827
Phone (561) 577-7641

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1144891078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 GREEN RD STE A4",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641074",
            "telephone_number": "754-227-7006",
            "fax_number": "754-755-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GREEN RD STE A4",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641074",
            "telephone_number": "754-227-7006",
            "fax_number": "754-755-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 Sanger Rd Rm No223",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277584",
            "country_code": "US",
            "telephone_number": "754-227-7006",
            "fax_number": "754-755-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE NONA DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "FINDRILAKIS",
        "authorized_official_first_name": "STELIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-577-7641"
    },
    "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 May 18, 2023; 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.