Excel Diagnostic Services Llc in St Petersburg - Physiological Laboratory
Excel Diagnostic Services Llc - NPI 1194729665
Excel Diagnostic Services Llc is a Physiological Laboratory in St Petersburg, Florida. Excel Diagnostic Services Llc practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for Excel Diagnostic Services Llc is 1194729665. The last update date is 2007-09-18.
Excel Diagnostic Services Llc's current location address is 1109 Darlington Oak Dr Ne, St Petersburg, Florida. You can contact this provider via phone number 7275210129 and fax number 7275210130. The mailing address for Excel Diagnostic Services Llc is 1109 Darlington Oak Dr Ne, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Excel Diagnostic Services Llc |
|---|---|
| Address | 1109 Darlington Oak Dr Ne, St Petersburg, Florida |
| Phone Number | 7275210129 |
| Fax Number | 7275210130 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Jagernauth D Prem |
| Credentials | RVT,RDMS,R |
| Telephone Number | 7275210129 |
NPI Number Detail
| NPI Number | 1194729665 |
|---|---|
| Provider Enumeration Date | 2005-06-12 |
| Last Updated Date | 2007-09-18 |
Provider Mailing Address Detail
| Address | 1109 Darlington Oak Dr Ne |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 3370363140 |
| Phone Number | 7275210129 |
| Fax Number | 7275210130 |
Provider's Primary Taxonomy Detail
| Speciality | Physiological Laboratory |
|---|---|
| Taxonomy | 293D00000X |
| Licence No | HCC5616 |
|
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 |
|---|---|---|---|
| 3580285 | FL | AETNA | |
| V2896 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Excel Diagnostic Services Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Excel Diagnostic Services Llc has been assigned the NPI (National Provider Identifier) 1194729665. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Excel Diagnostic Services Llc?
The Excel Diagnostic Services Llc is situated at 1109 Darlington Oak Dr Ne, in the city of St Petersburg, state of FL, with the zip code 3370363140.
What is the area of specialization for Excel Diagnostic Services Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Excel Diagnostic Services Llc is Physiological Laboratory, and the corresponding taxonomy code that categorizes this area of expertise is 293D00000X.
On what date did the Excel Diagnostic Services Llc receive its 1194729665 assignment from the Centers for Medicare & Medicaid Services?
The Excel Diagnostic Services Llc was assigned its 1194729665 by the Centers for Medicare & Medicaid Services on 2005-06-12.
When was the information pertaining to Excel Diagnostic Services Llc most recently updated or revised?
The details related to Excel Diagnostic Services Llc, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-18.
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