Organization Active NPI

Charles Diagnostics LLC

  • Clinical Medical Laboratory
  • Boynton Beach, FL
National Provider Identifier
1720737653
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CHARLES DIAGNOSTICS LLC
Practice address
10062 Stonehenge Cir Apt 119
Boynton Beach, FL 33437-3539
Phone
(561) 291-7016
NPI assigned
Mar 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Ms. Anide CharlesNPI 1891438479
Title
Laboratory Director
Phone
(561) 800-3510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10062 Stonehenge Cir Apt 119
Boynton Beach, FL 33437-3539

Mailing address

1530 W Boynton Beach Blvd # 4324
Boynton Beach, FL 33436-4606
Phone (561) 291-7016

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1720737653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 W BOYNTON BEACH BLVD # 4324",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364606",
            "telephone_number": "561-291-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10062 STONEHENGE CIR APT 119",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373539",
            "telephone_number": "561-291-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "ANIDE",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "561-800-3510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.