Born Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BORN DIAGNOSTICS, LLC

Practice address

6831 NW 20TH Ave
Suite 107
Fort Lauderdale, FL 33309-1505

Phone

(772) 828-6992

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Beth Iris Hernandez

Title

Ceo

Phone

(772) 828-6992

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1699123034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SW QUIET WOODS",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349538230",
            "telephone_number": "772-828-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 NW 20TH AVE",
            "address_2": "SUITE 107",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091505",
            "telephone_number": "772-828-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORN DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-828-6992"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artem E. Bor, CRNA
• Trisha Elena Bordas, LCSW
• Melissa Borden, D.C.
• Lisaine Borges, PHARMD
• Nina Boria
• Matthew J Borowski, CRNA
• Marta E Bosch, RPT
• Brenda Bosman
• Bruce Bostom, PHYSICIANS ASSISTANT
• Boston Medical Group, Inc.

• Clinical Medical Laboratory in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 May 26, 2016; 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.