Infinity Diagnostics Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

HCC6468 Issued in FL

Legal business name

INFINITY DIAGNOSTICS INC

Practice address

3201 W Commercial Blvd
Suite 129
Fort Lauderdale, FL 33309-3440

Phone

(954) 739-2111

Fax

(954) 739-2450

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan James Fedele

Title

Secretary

Phone

(954) 907-1800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1326077207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD",
            "address_2": "SUITE 129",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093440",
            "telephone_number": "954-739-2111",
            "fax_number": "954-739-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD",
            "address_2": "SUITE 129",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093440",
            "telephone_number": "954-739-2111",
            "fax_number": "954-739-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "FEDELE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "954-907-1800"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "FL",
            "license": "HCC6468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.