Provider Demographics
NPI:1073251336
Name:APPRISE DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:APPRISE DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-461-7405
Mailing Address - Street 1:450 FAIRWAY DR STE 103
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1837
Mailing Address - Country:US
Mailing Address - Phone:561-461-7405
Mailing Address - Fax:561-461-7421
Practice Address - Street 1:450 FAIRWAY DR STE 103
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-1837
Practice Address - Country:US
Practice Address - Phone:561-461-7405
Practice Address - Fax:561-461-7421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory