Organization Active NPI

KD Medical Choice LLC

  • Clinical Medical Laboratory
  • Winter Springs, FL
National Provider Identifier
1932769759
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
KD MEDICAL CHOICE LLC
Practice address
1060 Willa Springs Dr
Winter Springs, FL 32708-5214
Phone
(407) 604-1620
NPI assigned
Jun 14, 2019
Last updated
Jun 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Dr. Nagi Youssef
Title
Manager
Phone
(407) 604-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1060 Willa Springs Dr
Winter Springs, FL 32708-5214

Mailing address

1060 Willa Springs Dr
Winter Springs, FL 32708-5214
Phone (407) 604-1620

Other identifiers 1

IdentifierTypeStateIssuer
10D2137145OtherFLCLIA ID

National Provider Directory

National Provider Directory

Locations

1060 Willa Springs Dr
Winter Springs, FL 32708
Phone (407) 604-1620

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1932769759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WILLA SPRINGS DR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085214",
            "telephone_number": "407-604-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WILLA SPRINGS DR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085214",
            "telephone_number": "407-604-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD MEDICAL CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "NAGI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-604-1620",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "10D2137145",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.