Organization Active NPI

Braintech Diagnostics LLC

  • Health Service Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1366962037
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BRAINTECH DIAGNOSTICS LLC
Practice address
515 E Las Olas Blvd Ste 120
Ft Lauderdale, FL 33301-4261
Phone
(954) 304-5483
NPI assigned
Jun 23, 2017
Last updated
Jun 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Alex Lundy
Title
Ceo
Phone
(954) 304-5483

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FL
Health Service Clinic/Center 261QH0100X FL Primary

Addresses

Primary practice location

515 E Las Olas Blvd Ste 120
Ft Lauderdale, FL 33301-4261

Mailing address

7385 NW 68TH Ave
Parkland, FL 33067-3914
Phone (954) 304-5483

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1366962037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7385 NW 68TH AVE",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673914",
            "telephone_number": "954-304-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E LAS OLAS BLVD STE 120",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014261",
            "telephone_number": "954-304-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINTECH DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-304-5483"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.