Organization Active NPI

National Diagnostic Services

  • Physiological Laboratory
  • Plant City, FL
National Provider Identifier
1467776963
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NATIONAL DIAGNOSTIC SERVICES
Practice address
110 W Reynolds St
Suite 105
Plant City, FL 33563-3380
Phone
(813) 754-2343
Fax
(866) 316-0202
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Mrs. Dee Carol Rollyson
Title
Owner
Phone
(813) 754-2343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

110 W Reynolds St
Suite 105
Plant City, FL 33563-3380

Mailing address

110 W Reynolds St
Suite 105
Plant City, FL 33563-3380
Phone (813) 754-2343

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1467776963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W REYNOLDS ST",
            "address_2": "SUITE 105",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633380",
            "telephone_number": "813-754-2343",
            "fax_number": "866-316-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W REYNOLDS ST",
            "address_2": "SUITE 105",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633380",
            "telephone_number": "813-754-2343",
            "fax_number": "866-316-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "ROLLYSON",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-754-2343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

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