NPIMap

Organization Active NPI

Coral Springs Medical Center

  • Clinical Medical Laboratory
  • Coral Springs, FL
National Provider Identifier
1720155658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
ME 91584 Issued in FL
Legal business name
CORAL SPRINGS MEDICAL CENTER
Practice address
3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone
(954) 344-3051
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marjan Mirzabeigi, M.D.
Title
Associate Pathologist
Phone
(954) 344-3051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X ME 91584 FL Primary

Addresses

Primary practice location

3000 Coral Hills Dr
Coral Springs, FL 33065-4108

Mailing address

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3051

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
10D0665305Broward Health Coral Springs Clinical Lab3000 Coral Hills Dr, Coral Springs, FL 33065AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Robert L Odell MD140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720155658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CORAL HILLS DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654108",
            "telephone_number": "954-344-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORAL HILLS DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654108",
            "telephone_number": "954-344-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL SPRINGS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRZABEIGI",
        "authorized_official_first_name": "MARJAN",
        "authorized_official_title_or_position": "ASSOCIATE PATHOLOGIST",
        "authorized_official_telephone_number": "954-344-3051",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "ME 91584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.