Korunda Medical, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800027001 Issued in FL

Legal business name

KORUNDA MEDICAL, LLC

Practice address

4513 Executive Drive
Unit 101
Naples, FL 34119

Phone

(239) 591-2803

NPI assigned

Oct 20, 2014

Last updated

Oct 20, 2014By 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

Ms. Jennifer A Choy

Title

Office Manager

Phone

(239) 591-2803

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Korunda Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Korunda Medical, LLC

  dba Korunda Medical Institute

  • Interventional Pain Medicine Physician
  • Bonita Springs, FL
  • NPI 1548788292
  NPD tax ID

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1609270610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 EXECUTIVE DR",
            "address_2": "UNIT 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199033",
            "telephone_number": "239-591-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 EXECUTIVE DRIVE",
            "address_2": "UNIT 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "239-591-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORUNDA MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "CHOY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-591-2803",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800027001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Csilla Korom, NP
• Karl K Korri, MD
• Korunda Medical, LLC (Korunda Pain Management Center)
• Korunda Medical, LLC (Korunda Pain Management Center)
• Korunda Medical, LLC
• Nena Korunda, MD
• Zdenko Korunda, M.D.
• Adem Kose
• Kosia-Ig-LLC
• Roger Howard Koslen, D.D.S.

• Clinical Medical Laboratory in Naples, FL
• Providers in Naples, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.