NPIMap

Organization Active NPI

Sargat CH LLC

Doing business as Amaxilab

  • Primary Care Clinic/Center
  • Tamarac, FL
National Provider Identifier
1528841970
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SARGAT CH LLC
Doing business as
Amaxilab
Practice address
7710 NW 71St CT Ste 110
Tamarac, FL 33321-2930
Phone
(786) 944-6842
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Ilia Kudoshin
Title
Owner
Phone
(786) 790-9357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7710 NW 71St CT Ste 110
Tamarac, FL 33321-2930

Mailing address

7710 NW 71St CT Ste 110
Tamarac, FL 33321-2930

Other names 1

  • Amaxilab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amaxilab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1528841970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT STE 110",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT STE 110",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212930",
            "telephone_number": "786-944-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARGAT CH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "KUDOSHIN",
        "authorized_official_first_name": "ILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-790-9357"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amaxilab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.