Organization Active NPI

Novinopath Diagnostics FL LLC

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
National Provider Identifier
1720792104
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NOVINOPATH DIAGNOSTICS FL LLC
Practice address
1443 NE 4TH Ave
Fort Lauderdale, FL 33304
Phone
(718) 213-6274
Fax
(888) 377-1244
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Josephine WuNPI 1205905593
Title
Authorized Official
Phone
(718) 213-6274

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

1443 NE 4TH Ave
Fort Lauderdale, FL 33304

Mailing address

1443 NE 4TH Ave.
Fort Lauderdale, FL 33304
Phone (718) 213-6274

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.NOVINOPATH.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230221000388 FL Part B Supplier - Independent Clinical Laboratory 6103298146 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

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
10D2273052Novinopath Diagnostics FL LLC1443 NE 4TH Ave, Fort Lauderdale, FL 33304AccreditationApr 22, 2028

National Provider Directory

National Provider Directory

Locations

1443 NE 4th Ave
Ft Lauderdale, FL 33304
Phone (718) 213-6274

Practitioners & affiliated clinicians

Practitioners 2

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": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1720792104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 NE 4TH AVE.",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33304",
            "telephone_number": "718-213-6274",
            "fax_number": "888-377-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 NE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33304",
            "telephone_number": "718-213-6274",
            "fax_number": "888-377-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVINOPATH DIAGNOSTICS FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-08",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-213-6274"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.NOVINOPATH.COM",
            "affiliation": "N",
            "endpointDescription": "ADDRESS",
            "address_1": "1443 NE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.