Organization Active NPI

Synergy Diagnostic Laboratory Inc

  • Clinical Medical Laboratory
  • Davie, FL
National Provider Identifier
1336497072
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SYNERGY DIAGNOSTIC LABORATORY INC
Practice address
4081 SW 47TH Ave
Suite 2
Davie, FL 33314-4008
Phone
(954) 581-3959
Fax
(954) 530-6331
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Mr. David Lee Muskat
Title
Ceo
Phone
(954) 581-3959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X FL Primary

Addresses

Primary practice location

4081 SW 47TH Ave
Suite 2
Davie, FL 33314-4008

Mailing address

4081 SW 47TH Ave
Suite 2
Davie, FL 33314-4008
Phone (954) 581-3959

National Provider Directory

National Provider Directory

Locations

4081 SW 47th Ave
Ste 2
Davie, FL 33314
Phone (954) 241-0729

3110 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 773-8071

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1336497072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 SW 47TH AVE",
            "address_2": "SUITE 2",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144008",
            "telephone_number": "954-581-3959",
            "fax_number": "954-541-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 SW 47TH AVE",
            "address_2": "SUITE 2",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144008",
            "telephone_number": "954-581-3959",
            "fax_number": "954-530-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY DIAGNOSTIC LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "MUSKAT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-581-3959",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.