Organization Active NPI

Elite Diagnostics Solutions LLC

  • Clinical Medical Laboratory
  • Coral Springs, FL
National Provider Identifier
1538745138
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ELITE DIAGNOSTICS SOLUTIONS LLC
Practice address
7857 W Sample Rd Ste 136
Coral Springs, FL 33065-4748
Phone
(954) 225-5224
NPI assigned
Mar 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Stacy Ann O Preddie, RNNPI 1194301358
Title
Owner
Phone
(954) 225-5224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7857 W Sample Rd Ste 136
Coral Springs, FL 33065-4748

Mailing address

7857 W Sample Rd Ste 136
Coral Springs, FL 33065-4748
Phone (954) 225-5224

National Provider Directory

National Provider Directory

Locations

7857 W Sample Rd
Ste 136
Coral Springs, FL 33065
Phone (954) 225-5224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1538745138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7857 W SAMPLE RD STE 136",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654748",
            "telephone_number": "954-225-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7857 W SAMPLE RD STE 136",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654748",
            "telephone_number": "954-225-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DIAGNOSTICS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "PREDDIE",
        "authorized_official_first_name": "STACY ANN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-225-5224",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.