My Diagnostic Team Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MY DIAGNOSTIC TEAM INC

Practice address

3114 45TH St
Suite 9
West Palm Beach, FL 33407-1945

Phone

(561) 876-4399

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Agnieszka McKen

Title

Owner

Phone

(561) 876-4399

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1730568486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 45TH ST",
            "address_2": "SUITE 9",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071945",
            "telephone_number": "561-876-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 45TH ST",
            "address_2": "SUITE 9",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071945",
            "telephone_number": "561-876-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DIAGNOSTIC TEAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "MCKEN",
        "authorized_official_first_name": "AGNIESZKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-876-4399"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.