Organization Active NPI

Kirtmed, Inc.

  • Physiological Laboratory
  • Plantation, FL
National Provider Identifier
1417154808
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.