Individual provider Active NPI

Arkan Radeef

  • Pathology Specialist/Technologist
  • Tamarac, FL
National Provider Identifier
1720834500
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pathology Specialist/TechnologistTaxonomy code 246Q00000X
License
SU54931 Issued in FL
Practice address
7112 W McNab Rd
Tamarac, FL 33321-5306
Phone
(754) 703-0363
NPI assigned
Apr 24, 2024
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pathology Specialist/Technologist 246Q00000X SU54931 FL Primary

Addresses

Primary practice location

7112 W McNab Rd
Tamarac, FL 33321-5306

Mailing address

7607 NW 70TH Way
Parkland, FL 33067-3952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SU54931FLMDPathology Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stark Diagnostics LLC Single Specialty CurrentSince Apr 28, 2024 Accepting new patients

Locations

7112 W McNab Rd
Tamarac, FL 33321
Phone (754) 703-0363

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1720834500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 NW 70TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215306",
            "telephone_number": "754-703-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEEF",
        "first_name": "ARKAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "FL",
            "license": "SU54931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 2024; 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.