Organization Active NPI

Aurora Diagnostics, LLC

  • Clinical Medical Laboratory
  • Palm Beach Gardens, FL
National Provider Identifier
1578754180
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AURORA DIAGNOSTICS, LLC
Practice address
11025 Rca Center Drive
Suite 300
Palm Beach Gardens, FL 33410-4269
Phone
(561) 626-5512
Fax
(561) 626-4530
NPI assigned
Aug 8, 2007
Last updated
Mar 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Bruce C. Walton
Title
Coo/Exec V.P.
Phone
(561) 626-5512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X GA Primary

Addresses

Primary practice location

11025 Rca Center Drive
Suite 300
Palm Beach Gardens, FL 33410-4269

Mailing address

11025 Rca Center Drive
Suite 300
Palm Beach Gardens, FL 33410-4269
Phone (561) 626-5512

National Provider Directory

National Provider Directory

Locations

110 Trinity Pl
Athens, GA 30607
Phone (706) 546-4884

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1578754180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 RCA CENTER DRIVE",
            "address_2": "SUITE 300",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104269",
            "telephone_number": "561-626-5512",
            "fax_number": "561-626-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 RCA CENTER DRIVE",
            "address_2": "SUITE 300",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104269",
            "telephone_number": "561-626-5512",
            "fax_number": "561-626-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "COO/EXEC V.P.",
        "authorized_official_telephone_number": "561-626-5512"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.