OrganizationActive
Excel Diagnostic Services LLC
NPI 1194729665 · Physiological Laboratory · St Petersburg, FL
Provider details
- NPI number
- 1194729665
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Prem Jagernauth, Manager(727) 521-0129
- License
- HCC5616 (FL)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1109 Darlington Oak Dr Ne
St Petersburg, FL 33703-6314
Phone: (727) 521-0129
Fax: (727) 521-0130
Street-level locationGet directions
Mailing address
1109 Darlington Oak Dr Ne
St Petersburg, FL 33703-6314
Registry dates
- Enumerated
- 2005-06-12
- Last updated
- 2007-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.