District Diagnostic LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800029022 Issued in FL

Legal business name

DISTRICT DIAGNOSTIC LLC

Practice address

823 SE Osceola St Ste 1
Stuart, FL 34994-2431

Phone

(888) 440-7560

Fax

(888) 726-8451

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

David Bieda

Title

Owner

Phone

(888) 440-7560

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1699268920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SE OSCEOLA ST STE 1",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942431",
            "telephone_number": "888-440-7560",
            "fax_number": "888-726-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SE OSCEOLA ST STE 1",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942431",
            "telephone_number": "888-440-7560",
            "fax_number": "888-726-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "BIEDA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-440-7560"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800029022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2148797",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "800029022",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA",
            "identifier": "28895",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaelee Dintzner
• Chase H Dionysius
• Jeffrey A Diskin, M.D.
• Mario Disney
• Pasha-Mae Distant
• Niccia Ditrapano
• Diverse Family Solutions
• Diversified Therapeutics Inc
• Gaia Dixon-Pollard
• Cassandra Lena Dixon, COTA

• Clinical Medical Laboratory in Stuart, FL
• Providers in Stuart, 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 Jun 21, 2019; 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.