Organization Active NPI

Reliable Diagnostic Testing LLC

  • Physiological Laboratory
  • Fort Lauderdale, FL
National Provider Identifier
1477838290
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
RELIABLE DIAGNOSTIC TESTING LLC
Practice address
1001 W Cypress Creek Rd
118B
Fort Lauderdale, FL 33309-1947
Phone
(954) 771-9775
Fax
(954) 771-9905
NPI assigned
Oct 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Stuart B Kaufman
Title
Owner
Phone
(954) 771-9775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1001 W Cypress Creek Rd
118B
Fort Lauderdale, FL 33309-1947

Mailing address

1001 W Cypress Creek Rd
118B
Fort Lauderdale, FL 33309-1947
Phone (954) 771-9775

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1477838290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W CYPRESS CREEK RD",
            "address_2": "118B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091947",
            "telephone_number": "954-771-9775",
            "fax_number": "954-771-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W CYPRESS CREEK RD",
            "address_2": "118B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091947",
            "telephone_number": "954-771-9775",
            "fax_number": "954-771-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE DIAGNOSTIC TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-771-9775"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.