North Central Florida Neurodiagnostic Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800026857 Issued in FL

Legal business name

NORTH CENTRAL FLORIDA NEURODIAGNOSTIC SERVICES, LLC

Doing business as

NCF Diagnostics & DNA Technologies

Practice address

12076 Technology Ave
Alachua, FL 32615

Phone

(352) 375-5553

Fax

(352) 505-5506

NPI assigned

Sep 30, 2011

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adrian F Harper Sr.

Title

President and Ceo

Phone

(352) 375-5553

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• NCF Diagnostics & DNA Technologies Doing business as

Locations

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1295019990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2459",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326162459",
            "telephone_number": "352-375-5553",
            "fax_number": "888-972-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12076 TECHNOLOGY AVE",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "32615",
            "telephone_number": "352-375-5553",
            "fax_number": "352-505-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL FLORIDA NEURODIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "352-375-5553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800026857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS/CLIA",
            "identifier": "10D2042485",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLEGE OF AMERICAN PATHOLOGISTS",
            "identifier": "8004802",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LABORATORY",
            "identifier": "800026857",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE JOINT COMMISSION",
            "identifier": "605678",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCF Diagnostics & DNA Technologies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NCF Diagnostics & DNA Technologies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Alachua, FL
• Providers in Alachua, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.