Majestic Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MAJESTIC DIAGNOSTICS LLC

Practice address

1701 Green Rd Ste A6
Deerfield Beach, FL 33064-1074

Phone

(954) 993-2040

Fax

(954) 990-6305

NPI assigned

Apr 4, 2023

Organization subpart

No

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

Authorized official

Name

Sherita Chang

Title

Manager

Phone

(954) 993-2040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1487359899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 SW 30TH ST UNIT 277927",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330277222",
            "telephone_number": "954-228-1828",
            "fax_number": "954-990-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GREEN RD STE A6",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641074",
            "telephone_number": "954-993-2040",
            "fax_number": "954-990-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SHERITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-993-2040"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2277580",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deidre Maharajh, PT
• Keshavi Mahesh, MD
• Priti Maheshwari
• Mazin Mahmoud Ahmed Mahmoud
• Kandyce J Mahone
• Gibson Major
• Alexandra Mak
• David Scott Maklan, DC
• Kristen Malaki
• Julia Malave

• Clinical Medical Laboratory in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.