Florida Diagnostics Services Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

MA69369 Issued in FL

Legal business name

FLORIDA DIAGNOSTICS SERVICES INC

Practice address

10621 N Kendall Dr Ste 101a
Miami, FL 33176-1549

Phone

(305) 915-4134

Fax

(786) 360-4724

NPI assigned

Aug 1, 2014

Last updated

Aug 1, 2014By 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

Carlos A Machado

Title

President

Phone

(305) 915-4134

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1902214091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106210 N.KENDAL DR SUITE 101A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "305-915-4134",
            "fax_number": "786-360-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 N KENDALL DR STE 101A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761549",
            "telephone_number": "305-915-4134",
            "fax_number": "786-360-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DIAGNOSTICS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-915-4134"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "MA69369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Miami, FL
• Providers in Miami, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.