Active NPI
Kirtmed, Inc.
- Physiological Laboratory
- Plantation, FL
National Provider Identifier
1417154808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- KIRTMED, INC.
- Practice address
- 734 NW 101St Ter
Plantation, FL 33324-1061 - Phone
- (954) 673-5058
- Fax
- (954) 424-9064
- NPI assigned
- Jun 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Kirtman
- Title
- President
- Phone
- (954) 673-5058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
734 NW 101St Ter
Plantation, FL 33324-1061
Mailing address
734 NW 101St Ter
Plantation, FL 33324-1061
Phone (954) 673-5058
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417154808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 NW 101ST TER",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241061",
"telephone_number": "954-673-5058",
"fax_number": "954-424-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 NW 101ST TER",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241061",
"telephone_number": "954-673-5058",
"fax_number": "954-424-9064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRTMED, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KIRTMAN",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-673-5058"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.