Organization Active NPI

Superior Diagnostic Studies

  • Clinical Medical Laboratory
  • Crystal River, FL
National Provider Identifier
1447579057
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SUPERIOR DIAGNOSTIC STUDIES
Practice address
9030 W Ft Is TRL Ste 11a
Crystal River, FL 34429-2415
Phone
(352) 302-3535
NPI assigned
May 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Mr. Jerod John Romanik
Title
President
Phone
(352) 302-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

9030 W Ft Is TRL Ste 11a
Crystal River, FL 34429-2415

Mailing address

9030 W Ft Is TRL Ste 11a
Crystal River, FL 34429-2415
Phone (352) 302-3535

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1447579057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 W FT IS TRL STE 11A",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344292415",
            "telephone_number": "352-302-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 W FT IS TRL STE 11A",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344292415",
            "telephone_number": "352-302-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR DIAGNOSTIC STUDIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "ROMANIK",
        "authorized_official_first_name": "JEROD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-302-3535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.