Medical Diagnostic Services Of Central Florida Inc in Jasper - Physiological Laboratory
Medical Diagnostic Services Of Central Florida Inc - NPI 1316074594
Medical Diagnostic Services Of Central Florida Inc is a Physiological Laboratory in Jasper, Florida. Medical Diagnostic Services Of Central Florida Inc practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for Medical Diagnostic Services Of Central Florida Inc is 1316074594. The last update date is 2020-08-22.
Medical Diagnostic Services Of Central Florida Inc's current location address is 1150 Hwy 41, Jasper, Florida. You can contact this provider via phone number 3867922662 and fax number 3867922662. The mailing address for Medical Diagnostic Services Of Central Florida Inc is 1150 Hwy 41, Jasper, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medical Diagnostic Services Of Central Florida Inc |
|---|---|
| Address | 1150 Hwy 41, Jasper, Florida |
| Phone Number | 3867922662 |
| Fax Number | 3867922662 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Osullivan B Kevin |
| Credentials | ROCS |
| Telephone Number | 3524895873 |
NPI Number Detail
| NPI Number | 1316074594 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1150 Hwy 41 |
|---|---|
| City | Jasper |
| State | Florida (FL) |
| Post Code | 320521150 |
| Phone Number | 3867922662 |
| Fax Number | 3867922662 |
Provider's Primary Taxonomy Detail
| Speciality | Physiological Laboratory |
|---|---|
| Taxonomy | 293D00000X |
|
Definition: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratorie |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| V2017 | FL | BCBS | |
| 225296 | FL | AV MED |
Post Comment/ Review Below
What is the Medical Diagnostic Services Of Central Florida Inc's unique identification number?
The Medical Diagnostic Services Of Central Florida Inc has been assigned the NPI (National Provider Identifier) Number 1316074594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Medical Diagnostic Services Of Central Florida Inc's physical address?
The Medical Diagnostic Services Of Central Florida Inc is physically located at 1150 Hwy 41, in the city of Jasper, FL, with the postal code 320521150.
What is the Medical Diagnostic Services Of Central Florida Inc's specialty and taxonomy code?
The Medical Diagnostic Services Of Central Florida Inc's specialty is Physiological Laboratory, and the corresponding taxonomy code is 293D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316074594 to Medical Diagnostic Services Of Central Florida Inc?
The Centers for Medicare & Medicaid Services assigned the 1316074594 to Medical Diagnostic Services Of Central Florida Inc on 2007-02-27.
As of what date was the information pertaining to Medical Diagnostic Services Of Central Florida Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Medical Diagnostic Services Of Central Florida Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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