Coagtesting

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COAGTESTING

Practice address

3200 Palm Trace Landings Dr Apt 916
Davie, FL 33314-6803

Phone

(954) 290-0826

Fax

(866) 486-4268

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Gary Plancher

Title

Coo

Phone

(954) 290-0826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1295035616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N UNIVERSITY DR",
            "address_2": "STE 102-117",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224115",
            "fax_number": "866-486-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PALM TRACE LANDINGS DR APT 916",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333146803",
            "telephone_number": "954-290-0826",
            "fax_number": "866-486-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAGTESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "PLANCHER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-290-0826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Davie, 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 Nov 10, 2010; 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.