Provider Profile
ATLAS DIAGNOSTICS INC
Health Care Clinic
FACILITY PROFILE
Street Address
- 10150 HIGHLAND MANOR DR
TAMPA, FL 33610
County: Hillsborough - Phone: (718) 789-1818
Mailing Address
- 1160 60TH ST
BROOKLYN, NY 11219
County: - Phone: (718) 789-1818
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | ||||||||||||
| Medical or Clinic Director: | JEREMY SCOTT STUPIN | ||||||||||||
| Administrator: | CHESKEL REICH | ||||||||||||
| Owner/Licensee: | ATLAS DIAGNOSTICS INC | ||||||||||||
| Owner/Licensee Since: | 3/16/2022 | ||||||||||||
| |||||||||||||
| Profit Status: | For-Profit | ||||||||||||
| Licensed Beds: | Not Available | ||||||||||||
| AHCA Number (File Number): | 14571 | ||||||||||||
| AHCA Field Office: | 08 | ||||||||||||
| License Number: | 13580 | ||||||||||||
| Current License Effective: | 10/7/2022 | ||||||||||||
| Current License Expires: | 10/6/2024 | ||||||||||||
| License Status: | IN REVIEW | ||||||||||||
| |||||||||||||
Services/Characteristics
| Type: | Portable Equipment Provider |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.