Organization Active NPI

Progressive Diagnostics, Inc.

  • Multi-Specialty Clinic/Center
  • Weston, FL
National Provider Identifier
1578611679
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PROGRESSIVE DIAGNOSTICS, INC.
Practice address
3699 Vista Way
Weston, FL 33331-3713
Phone
(954) 937-1126
Fax
(954) 349-1411
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laurence RubinNPI 1104991421
Title
President
Phone
(954) 937-1126

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3699 Vista Way
Weston, FL 33331-3713

Mailing address

3699 Vista Way
Weston, FL 33331
Phone (954) 937-1126

National Provider Directory

National Provider Directory

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578611679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 VISTA WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33331",
            "telephone_number": "954-937-1126",
            "fax_number": "954-349-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 VISTA WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313713",
            "telephone_number": "954-937-1126",
            "fax_number": "954-349-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-937-1126"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.