Concise Diagnostics Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

291U0000X Issued in FL

Legal business name

CONCISE DIAGNOSTICS CORP

Practice address

5400 S University Dr
305C
Davie, FL 33328-5312

Phone

(954) 909-0132

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Matthew Odette

Title

Director

Phone

(954) 909-0132

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1881083467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR",
            "address_2": "305B",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285312",
            "telephone_number": "954-909-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR",
            "address_2": "305C",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285312",
            "telephone_number": "954-909-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCISE DIAGNOSTICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "ODETTE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-909-0132"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "291U0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Davie, FL
• Providers in Davie, 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 Dec 1, 2015; 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.