Organization Active NPI

Innovative Diagnostic Services, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1194992826
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
INNOVATIVE DIAGNOSTIC SERVICES, LLC
Practice address
14100 Palmetto Frontage Rd
202
Miami Lakes, FL 33016-1569
Phone
(305) 764-0869
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Victor Valdes
Title
Director
Phone
(305) 764-0869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X FL Primary

Addresses

Primary practice location

14100 Palmetto Frontage Rd
202
Miami Lakes, FL 33016-1569

Mailing address

14100 Palmetto Frontage Rd
202
Miami Lakes, FL 33016-1569
Phone (305) 764-0869

National Provider Directory

National Provider Directory

Locations

14100 Palmetto Frntg Rd
Ste 202
Miami Lakes, FL 33016
Phone (305) 764-0869

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1194992826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 PALMETTO FRONTAGE RD",
            "address_2": "202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161569",
            "telephone_number": "305-764-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 PALMETTO FRONTAGE RD",
            "address_2": "202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161569",
            "telephone_number": "305-764-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-764-0869",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.