Healthcare Provider Details

I. General information

NPI: 1932376233
Provider Name (Legal Business Name): SYMPHONY DIAGNOSTIC SERVICES NO 1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2008
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 140TH AVE N STE 200
CLEARWATER FL
33762-3813
US

IV. Provider business mailing address

930 RIDGEBROOK RD FL 3
SPARKS MD
21152-9481
US

V. Phone/Fax

Practice location:
  • Phone: 800-786-8015
  • Fax: 443-842-7264
Mailing address:
  • Phone: 800-786-8015
  • Fax: 443-662-4230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number3008665
License Number StatePA

VIII. Authorized Official

Name: BRIAN C CUOMO
Title or Position: AUTHORIZED OFFICIAL/CFO
Credential:
Phone: 800-786-8015