Anide Charles

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

10D2255961 Issued in FL

Practice address

1530 W Boynton Beach Blvd # 4324
Boynton Beach, FL 33436-4606

Phone

(561) 800-3510

NPI assigned

Apr 20, 2022

Last updated

Apr 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles Diagnostics LLC

  • Clinical Medical Laboratory
  • Boynton Beach, FL
  • NPI 1720737653
  NPD Authorized official

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1891438479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10062 STONEHENGE CIR APT 119",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W BOYNTON BEACH BLVD # 4324",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364606",
            "telephone_number": "561-800-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "ANIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "FL",
            "license": "10D2255961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tynashkee Chapman Colbert, LCSW
• Glenn S Chapman III, D.O.
• Linda J Chapman, MS
• Charles Diagnostics LLC
• Charles J Lalane DMD LLC (Lalane Dental)
• Cornelia Charles, M.D
• Denise Charles, CNA
• Franguy Charles
• Julberthy S Charles
• Thayanah Charles

• Clinical Laboratory Director (Non-physician) in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Clinical Laboratory Director (Non-physician) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.