Active NPI
Arkan Radeef
- Pathology Specialist/Technologist
- Tamarac, FL
National Provider Identifier
1720834500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pathology Specialist/Technologist
- License
- SU54931
- Practice address
- 7112 W McNab Rd
Tamarac, FL 33321-5306 - Phone
- (754) 703-0363
- NPI assigned
- Apr 24, 2024
- Last updated
- Apr 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SU54931 | FL | MD | Pathology Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stark Diagnostics LLC | Single Specialty | Current | 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
- Shanna Nicole Quiceno
- Nicole Renee Quint, OTRL 10954
- Melina Andrea Quintar-Moore
- R&G Transportation,LLC
- R&R Domestic Services, Inc.
- Radiology Associates PA of Fort Lauderdale
- Raghavendra Pharmacy Inc (lakeside discount pharmacy)
- Samantha Rainford, RN, BSN
- Michael S. Ramer, D.D.S.
- Soett Ramirez-Estrada, MD
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.