Mark Nagrani, MD Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800020973 Issued in FL

Legal business name

MARK NAGRANI, MD INC

Practice address

612 Palmetto St
New Smyrna Beach, FL 32168-7327

Phone

(386) 423-5500

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Mark Nagrani, MDNPI 1699717611

Title

Director

Phone

(386) 423-5500

Specialties & licenses 1

Addresses

Other names 1

• United Pathologist Laboratory Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mark Nagrani MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• United Pathologist Laboratory

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1508101007
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Nagrani, M.D.

  • Specialist
  • New Smyrna Beach, FL
  • NPI 1699717611
  NPD (past) Authorized official

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1891069936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687327",
            "telephone_number": "386-423-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK NAGRANI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "NAGRANI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-423-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800020973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Pathologist Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea L Malecki, LMT
• Margaret Aldridge Consulting Inc.
• Martin Vasilev Marinov, M.D.
• Mark a Nagrani MD PA
• Mark K Nagrani MD PLLC
• Caroline Marks, MSW
• Samantha Roush Marrier, COTA/L
• Henrik Edgar Martenson
• Emma Martin, MA
• Jessica Lyn Martin, LMHC

• Clinical Medical Laboratory in New Smyrna Beach, FL
• Providers in New Smyrna 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 Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.