Ideal Diagnostic

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IDEAL DIAGNOSTIC

Practice address

2065 NE 163Rd St
North Miami Beach, FL 33162-4901

Phone

(786) 589-7215

Fax

(786) 743-2243

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Kwame Agyeman

Title

Manager

Phone

(786) 589-7215

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1831816065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624901",
            "telephone_number": "786-589-7215",
            "fax_number": "786-743-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624901",
            "telephone_number": "786-589-7215",
            "fax_number": "786-743-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "AGYEMAN",
        "authorized_official_first_name": "KWAME",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-589-7215"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tin Wai Hui, DMD
• Donna L Hurwit, ARNP
• Handre Hurwit, M.D
• I Munique Hyler
• Icirealstate
• Ideal Medical Center
• Ideal RX Pharmacy Jackson North Inc
• Candylein Iglesias
• Ila Dental Group
• Immune Care of North Miami Inc

• Clinical Medical Laboratory in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.