NPIMap

Organization Active NPI

University of South Florida

  • Clinical Medical Laboratory
  • Tampa, FL
National Provider Identifier
1275956005
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNIVERSITY OF SOUTH FLORIDA
Practice address
3702 Spectrum Blvd
Suite 165
Tampa, FL 33612-9444
Phone
(813) 974-2897
Fax
(813) 974-4962
NPI assigned
Jan 30, 2014
Last updated
Jan 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Mr. Keith Anderson
Title
Associate Director
Phone
(813) 974-6329

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

3702 Spectrum Blvd
Suite 165
Tampa, FL 33612-9444

Mailing address

3702 Spectrum Blvd
Suite 165
Tampa, FL 33612-9444
Phone (813) 974-2897

Other names 1

  • Sponsored Research Other name

National Provider Directory

National Provider Directory
Tax ID family
University of South Florida11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3702 Spectrum Blvd
Ste 165
Tampa, FL 33612
Phone (813) 974-2897

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1275956005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 SPECTRUM BLVD",
            "address_2": "SUITE 165",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129444",
            "telephone_number": "813-974-2897",
            "fax_number": "813-974-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 SPECTRUM BLVD",
            "address_2": "SUITE 165",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129444",
            "telephone_number": "813-974-2897",
            "fax_number": "813-974-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "813-974-6329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sponsored Research",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.