Children'S Diagnostic Testing Group of Palm Beach, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CHILDREN'S DIAGNOSTIC TESTING GROUP OF PALM BEACH, INC.

Practice address

3713 S Congress Ave
Lake Worth, FL 33461-3753

Phone

(305) 275-6069

Fax

(305) 412-8265

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stephen E Cianciulli

Title

President

Phone

(305) 275-6069

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225248149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 SW 72ND ST",
            "address_2": "SUITE A150",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733242",
            "telephone_number": "305-275-6069",
            "fax_number": "305-412-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 S CONGRESS AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613753",
            "telephone_number": "305-275-6069",
            "fax_number": "305-412-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DIAGNOSTIC TESTING GROUP OF PALM BEACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CIANCIULLI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-275-6069",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Kevin Chaykin, PA-C
• Andrea F. Chen, M.D.
• Whitney Cherner, LCSW
• Child Protection Team
• Childgarden LLC
• Debra Denise Chinquee, ARNP
• Chiro at Lake Worth LLC
• Chirocare of Lake Worth LLC
• Chiropractic Rehab Care Inc
• Chiropractically Ours, LLC

• Radiology Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.