Active NPI
Orlando Diagnostics LLC
- Clinical Medical Laboratory
- Orlando, FL
National Provider Identifier
1255796959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ORLANDO DIAGNOSTICS LLC
- Practice address
- 2431 Sand Lake Rd
Orlando, FL 32809-7641 - Phone
- (855) 876-8648
- NPI assigned
- Dec 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nick Matteo
- Title
- Cfo
- Phone
- (561) 318-4430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2431 Sand Lake Rd
Orlando, FL 32809-7641
Mailing address
2328 10TH Ave N Ste 302
Lake Worth, FL 33461-6612
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2106507 | Sunrise Detox Orlando LLC | Certificate of waiver | Dec 20, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450742400000",
"number": "1255796959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 10TH AVE N STE 302",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334616612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 SAND LAKE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097641",
"telephone_number": "855-876-8648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLANDO DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-22",
"last_updated": "2015-12-22",
"status": "A",
"authorized_official_last_name": "MATTEO",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "561-318-4430"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Orlando Dental Center PA
- Orlando Dental Group PA
- Orlando Dentist and Denture Lab LLC
- Orlando Dermatology, Inc.
- Orlando Diabetes and Endocrine Specialists
- Orlando Discount Pharmacy Inc
- Orlando Ear Nose & Throat Associates PA
- Orlando East SNF Operations LLC
- Orlando Emergency Chiropractic
- Orlando Endocrinology, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.