Prestige Diagnostic Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRESTIGE DIAGNOSTIC CORP

Practice address

6474 Miami Lakes Dr E # 210C
Miami Lakes, FL 33014-2756

Phone

(786) 639-0505

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By 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

Carmen Rivas

Title

President

Phone

(786) 639-0505

Specialties & licenses 1

Addresses

Tax ID family

Prestige Diagnostic Corp2 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.

• Prestige Diagnostic Corp

  • Pulmonary Diagnostics Certified Respiratory Therapist
  • Miami Lakes, FL
  • NPI 1568404796
  NPD tax ID

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639385099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6474 MIAMI LAKES DR E # 210C",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142756",
            "telephone_number": "786-639-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6474 MIAMI LAKES DR E # 210C",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142756",
            "telephone_number": "786-639-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE DIAGNOSTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-639-0505"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Rehabilitation Group, LLC
• Premier Touch Nurse Registry LLC
• Premium Healthcare Holdings, LLLP
• Premium Provider Services LLC
• Prestige Diagnostic Corp
• Brenda Careen Pribila, ARNP-C
• Rosmery Prieto Diaz
• Janis Prieto Fernandez, REGISTER BEHAVIOR TE
• Heidys Prieto, PSY.D
• Misael Alberto Prieto, M. D.

• Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Clinic/Center in Florida

• 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.