Organization Active NPI

Oracle Diagnostics LLC

  • Clinical Medical Laboratory
  • Ft Lauderdale, FL
National Provider Identifier
1801349170
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ORACLE DIAGNOSTICS LLC
Practice address
6831 NW 20TH Ave Ste 108
Ft Lauderdale, FL 33309-1505
Phone
(561) 777-2024
NPI assigned
Aug 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Micahel Nussbaum
Title
Ceo
Phone
(561) 777-2024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6831 NW 20TH Ave Ste 108
Ft Lauderdale, FL 33309-1505

Mailing address

6831 NW 20TH Ave Ste 108
Ft Lauderdale, FL 33309-1505
Phone (561) 777-2024

National Provider Directory

National Provider Directory

Locations

6831 NW 20th Ave
Ste 108
Ft Lauderdale, FL 33309
Phone (561) 777-2024

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1801349170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 NW 20TH AVE STE 108",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091505",
            "telephone_number": "561-777-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 NW 20TH AVE STE 108",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091505",
            "telephone_number": "561-777-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORACLE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MICAHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-777-2024"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.