Trident Diagnostics, LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

TRIDENT DIAGNOSTICS, LLC

Practice address

4919 W Melrose Ave S
Tampa, FL 33629-5419

Phone

(727) 544-4019

NPI assigned

Jul 30, 2014

Last updated

Jul 30, 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

Mr. Mandeep Taneja

Title

MGR

Phone

(727) 544-4019

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1689082968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 W MELROSE AVE S",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295419",
            "telephone_number": "727-544-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 W MELROSE AVE S",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295419",
            "telephone_number": "727-544-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "TANEJA",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "727-544-4019",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Triana, MA
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• Katie Lynn Tribuls, DO
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• Lionel Q. Tridas, M.D.
• Claire Triggiano
• Savannah H Triggs
• Amanda J Trimble, PA
• Ashley Trimboli
• Thomas G Trimmer, PH.D.

• Other Specialist/Technologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Other Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.