Instant Diagnostic Systems, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

INSTANT DIAGNOSTIC SYSTEMS, INC.

Practice address

1740 4TH Ave SE
Suite a
Decatur, AL 35601-5900

Phone

(800) 355-0691

Fax

(734) 843-7719

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark E Sorrells

Title

President

Phone

(800) 355-0691

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1922017516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 4TH AVE SE",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015900",
            "telephone_number": "800-355-0691",
            "fax_number": "734-843-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 4TH AVE SE",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015900",
            "telephone_number": "800-355-0691",
            "fax_number": "734-843-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTANT DIAGNOSTIC SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "SORRELLS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-355-0691",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Decatur, AL
• Providers in Decatur, AL by specialty
• Physiological Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.