Organization Active NPI

Gulf Bay Diagnostics LLC

  • Specialist
  • Daphne, AL
National Provider Identifier
1740445865
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GULF BAY DIAGNOSTICS LLC
Practice address
25922 Tealwood Dr
Daphne, AL 36526-6429
Phone
(251) 228-1467
Fax
(251) 980-1945
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mrs. Bridget M Rizzuto
Title
Ceo
Phone
(251) 228-1467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

25922 Tealwood Dr
Daphne, AL 36526-6429

Mailing address

25922 Tealwood Dr
Daphne, AL 36526-6429
Phone (251) 228-1467

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1740445865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25922 TEALWOOD DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266429",
            "telephone_number": "251-228-1467",
            "fax_number": "251-980-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25922 TEALWOOD DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266429",
            "telephone_number": "251-228-1467",
            "fax_number": "251-980-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF BAY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "RIZZUTO",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-228-1467",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.