Excel Diagnostic Services LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

HCC5616 Issued in FL

Legal business name

EXCEL DIAGNOSTIC SERVICES LLC

Practice address

1109 Darlington Oak Dr NE
St Petersburg, FL 33703-6314

Phone

(727) 521-0129

Fax

(727) 521-0130

NPI assigned

Jun 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Prem D Jagernauth, RVT,RDMS,RDCS

Title

Manager

Phone

(727) 521-0129

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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

• James Chris Neiman, MD

  • Cardiovascular Disease Physician
  • Seminole, FL
  • NPI 1144265646
  NPD
• Dennis L College, M.D.

  • Pulmonary Disease Physician
  • Clearwater, FL
  • NPI 1285630806
  NPD (past)
• Eli H Freilich, M.D.

  • Pulmonary Disease Physician
  • Clearwater, FL
  • NPI 1477534303
  NPD (past)
• Steven Barry Tinsley, M.D.

  • Pulmonary Disease Physician
  • Clearwater, FL
  • NPI 1053389619
  NPD (past)

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

{
    "created_epoch": "1118534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1194729665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 DARLINGTON OAK DR NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337036314",
            "telephone_number": "727-521-0129",
            "fax_number": "727-521-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 DARLINGTON OAK DR NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337036314",
            "telephone_number": "727-521-0129",
            "fax_number": "727-521-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-12",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "JAGERNAUTH",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-521-0129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RVT,RDMS,RDCS"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "FL",
            "license": "HCC5616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3580285",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V2896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evexia Healthcare LLC
• Evolution Wound Management of FL PA
• Evolve Telehealth Psych Oncology
• Evolvegene, LLC
• Kelsey Kristine Ewing, PTA
• Excel Pain and Spine LLC
• Excel Physical Therapy
• Berny Excellent, M.D.
• Excellerated Facilitation Technologies
• Excellerated Teaching Academy

• Physiological Laboratory in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.