Organization Active NPI

Reliable Diagnostic Services

  • Clinical Medical Laboratory
  • Tamarac, FL
National Provider Identifier
1639998586
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RELIABLE DIAGNOSTIC SERVICES
Practice address
6610 N University Dr Ste 200
Tamarac, FL 33321-4033
Phone
(844) 993-8378
Fax
(954) 951-7771
NPI assigned
Oct 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
James E Goodwin
Title
Owner
Phone
(844) 993-8378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6610 N University Dr Ste 200
Tamarac, FL 33321-4033

Mailing address

6610 N University Dr Ste 200
Tamarac, FL 33321-4033
Phone (844) 993-8378

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2281360Reliable Diagnostic Services LLC6610 N University Drive, Unit 200, Tamarac, FL 33321Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

6610 N University Dr
Ste 200
Tamarac, FL 33321
Phone (844) 993-8378

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1639998586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 N UNIVERSITY DR STE 200",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214033",
            "telephone_number": "844-993-8378",
            "fax_number": "954-951-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 N UNIVERSITY DR STE 200",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214033",
            "telephone_number": "844-993-8378",
            "fax_number": "954-951-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-993-8378"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.