Active NPI
Sargat CH LLC
Doing business as Amaxilab
- Clinic/Center
- Tamarac, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SARGAT CH LLC
- Doing business as
- Amaxilab
- Practice address
- 7710 NW 71St CT Ste 110
Tamarac, FL 33321-2930 - Phone
- (786) 944-6842
- NPI assigned
- Aug 17, 2023
- Last updated
- Aug 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilia Kuldoshin
- Title
- Owner
- Phone
- (786) 790-9357
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
7710 NW 71St CT Ste 110
Tamarac, FL 33321-2930
Mailing address
7710 NW 71St CT Ste 110
Tamarac, FL 33321-2930
Phone (786) 944-6842
Other names 1
- Amaxilab
National Provider Directory
National Provider Directory- Tax ID family
- Amaxilab
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
7710 NW 71st Ct
Ste 110
Tamarac, FL 33321
Phone (754) 333-7303
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Pathology/Laboratory Medicine Physician
- Plantation, FL
- NPI 1235883273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692230400000",
"number": "1710760160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 NW 71ST CT STE 110",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212930",
"telephone_number": "786-944-6842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 NW 71ST CT STE 110",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212930",
"telephone_number": "786-944-6842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARGAT CH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A",
"authorized_official_last_name": "KULDOSHIN",
"authorized_official_first_name": "ILIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-790-9357"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amaxilab",
"code": "3",
"type": "Doing Business As"
}
]
}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 Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.