Diverse Multi Billing LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

DIVERSE MULTI BILLING LLC

Practice address

3646 NW 29TH CT
Lauderdale Lakes, FL 33311-8357

Phone

(954) 200-4682

NPI assigned

Dec 9, 2019

Last updated

Dec 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elena Durocher

Title

Ceo

Phone

(954) 200-4682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1861039869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26086",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333206086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 NW 29TH CT",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333118357",
            "telephone_number": "954-200-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE MULTI BILLING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "DUROCHER",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-200-4682"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.