Applied Ingenuity Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

APPLIED INGENUITY DIAGNOSTICS LLC

Practice address

7040 Lake Ellenor Dr
Orlando, FL 32809-5750

Phone

(877) 277-5439

Fax

(877) 577-5439

NPI assigned

Oct 31, 2018

Organization subpart

No

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

Authorized official

Name

Ravi Bhosale

Title

Coo

Phone

(877) 277-5439

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• APPLIED INGENUITY DIAGNOSTICS Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Tera J Gwaldis, APRN

  • Family Nurse Practitioner
  • Elkton, FL
  • NPI 1821696303
  NPD
• Mansoor S. Mughal, M.D.

  • Ophthalmology Physician
  • Jacksonville, FL
  • NPI 1497905046
  NPD
• Kaushalendra Kumar Singh, MD

  • Internal Medicine Physician
  • Palatka, FL
  • NPI 1215029731
  NPD
• Maulik Raj Shah, MD, PHD

  • Internal Medicine Physician
  • Gainesville, FL
  • NPI 1417966219
  NPD (past)

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1174090724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 NW 41ST ST BLDG A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067490",
            "telephone_number": "877-277-5439",
            "fax_number": "877-277-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAKE ELLENOR DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095750",
            "telephone_number": "877-277-5439",
            "fax_number": "877-577-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED INGENUITY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "BHOSALE",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-277-5439"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102755900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPLIED INGENUITY DIAGNOSTICS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "APPLIED INGENUITY DIAGNOSTICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Orlando, FL
• Providers in Orlando, 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 Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.