NPIMap

Organization Active NPI

McDonnell Diagnostic Services, PC

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1881004422
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
SP109 Issued in NV
Legal business name
MCDONNELL DIAGNOSTIC SERVICES, PC
Practice address
301 Yamato Rd
Suite 1100
Boca Raton, FL 33431-4917
Phone
(855) 200-8262
Fax
(855) 400-8262
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Dr. Andrew Joseph McDonnell, MD
Title
President
Phone
(855) 200-8262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X SP109 NV Primary

Addresses

Primary practice location

301 Yamato Rd
Suite 1100
Boca Raton, FL 33431-4917

Mailing address

301 Yamato Rd
Suite 1100
Boca Raton, FL 33431-4917
Phone (855) 200-8262

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1881004422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 YAMATO RD",
            "address_2": "SUITE 1100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314917",
            "telephone_number": "855-200-8262",
            "fax_number": "855-400-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 YAMATO RD",
            "address_2": "SUITE 1100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314917",
            "telephone_number": "855-200-8262",
            "fax_number": "855-400-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONNELL DIAGNOSTIC SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-200-8262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "SP109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.