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

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FAQs about Excel Diagnostic Services Llc

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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