Compass Diagnostics LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COMPASS DIAGNOSTICS LLC

Practice address

7457 103Rd St Ste 5
Jacksonville, FL 32210-6775

Phone

(904) 219-2170

Fax

(904) 339-9418

NPI assigned

Nov 10, 2023

Last updated

Nov 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nelson Cruz

Title

Owner

Phone

(904) 219-2170

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1578337408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7457 103RD ST STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106775",
            "telephone_number": "904-219-2170",
            "fax_number": "904-339-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7457 103RD ST STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106775",
            "telephone_number": "904-219-2170",
            "fax_number": "904-339-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-219-2170"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Public Health or Welfare Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.