Organization Active NPI

Atlas Diagnostic Holdings

  • Clinical Medical Laboratory
  • Tampa, FL
National Provider Identifier
1316486566
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
HCC12300 Issued in FL
Legal business name
ATLAS DIAGNOSTIC HOLDINGS
Practice address
10150 Highland Manor Dr Ste 200
Tampa, FL 33610-9712
Phone
(718) 789-1818
Fax
(718) 789-1616
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Cheskel Reich
Title
Owner
Phone
(917) 468-7480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X HCC12300 FL Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

10150 Highland Manor Dr Ste 200
Tampa, FL 33610-9712

Mailing address

4023 N Armenia Ave
Tampa, FL 33607-1017
Phone (813) 443-2185

Other names 1

  • Atlas Diagnostics Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1316486566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071017",
            "telephone_number": "813-443-2185",
            "fax_number": "813-443-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109712",
            "telephone_number": "718-789-1818",
            "fax_number": "718-789-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS DIAGNOSTIC HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "CHESKEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-468-7480"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "HCC12300",
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Diagnostics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Atlas Diagnostics",
            "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 Jul 13, 2023; 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.