Active NPI
National Diagnostic Services
- Physiological Laboratory
- Plant City, FL
National Provider Identifier
1467776963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.