PROGRESSIVE DIAGNOSTICS, INC. (NPI# 1578611679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578611679 |
Entity Type | Organization |
Organization Name | PROGRESSIVE DIAGNOSTICS, INC. |
Practice Address |
3699 Vista Way Weston FL 33331-3713 |
Mailing Address |
3699 Vista Way Weston FL 33331 |
Practice Telephone | 9549371126 |
Practice Fax Number | 9543491411 |
Mailing Telephone | 9549371126 |
Mailing Fax Number | 9543491411 |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | LAURENCE RUBIN (PRESIDENT) |
Authorized Official Telephone | 9549371126 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
3699 VISTA WAY |
City | WESTON |
State | FL |
Zip Code | 33331-3713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104991421 | Laurence Rubin | Specialist/Technologist, Other | 3699 Vista Way, Weston, FL 33331-3713 | 2006-11-21 |
1346481298 | Elite Mobil Diagnostics, Inc. | Radiologic Technologist | 3699 Vista Way, Weston, FL 33331-3713 | 2009-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
1689212854 | Rumman Ahmed Khalid | Student in an Organized Health Care Education/Training Program | 16129 Opal Creek Drive, Weston, FL 33331 | 2019-12-18 |
1275015505 | B & B Monitoring LLC | Emergency Response System Companies | 4474 Weston Road, Suite 3, Ft Lauderdale, FL 33331 | 2018-09-04 |
1609367747 | Gerardo Minsal, Md Pa | Internal Medicine | 16720 Sapphire Springs, Weston, FL 33331 | 2018-05-24 |
1447747258 | Mario Ricardo Pimentel | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Boulevard, Weston, FL 33331 | 2018-04-17 |
1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
1942709902 | John Kross Pharmacy #2, Inc | Pharmacy | 16618 Sheridan St, Fort Lauderdale, FL 33331 | 2018-02-06 |
1922512342 | Luisa Fernanda Quevedo | Occupational Therapy Assistant | 4350 Mahogany Ridge Dr, Weston, FL 33331 | 2017-11-21 |
1144752551 | Therese Youssef Andraos | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd., Weston, FL 33331 | 2017-04-03 |
1255720843 | Horse and Petting Pal Interaction, Inc. | Counselor | 17800 Sw 52 Ct, Southwest Ranches, FL 33331 | 2015-01-20 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.