TOTAL RENAL LABORATORIES INC (NPI# 1255335535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255335535 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL LABORATORIES INC |
| Practice Address |
1991 Industrial Dr Deland FL 32724 |
| Mailing Address |
Lockbox 402683 Atlanta GA 30384-2683 |
| Practice Telephone | 3867381809 |
| Practice Fax Number | 3867382303 |
| Mailing Telephone | 3867381809 |
| Mailing Fax Number | 3867381706 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | JAMES K. HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 3867381809 |
| Is Organization Subpart | Y |
| Parent Organization Name | TOTAL RENAL CARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 800005025 | FL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009940000 | 05 | |
| FL | 30481600 | 05 | |
| KY | 37000023 | 05 | |
| NC | 7001142 | 05 | |
| SC | L00045 | 05 | |
| MO | 707630604 | 05 | |
| VA | 001006452 | 05 | |
| KS | 100349050A | 05 | |
| TX | 0717589 01 | 05 | |
| PA | 15880660001 | 05 | |
| WA | 7075468 | 05 | |
| GA | 00643222A | 05 | |
| MD | 283981400 | 05 | |
| CO | 98003007 | 05 | |
| NJ | 8136408 | 05 | |
| OK | 100758080A | 05 | |
| LA | 1655317 | 05 | |
| CA | XLAB1330F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720820 | Total Renal Laboratories Inc | Clinical Medical Laboratory | 3000 Davita Way, Deland, FL 32724 | 2018-05-18 |
| Street Address |
1991 INDUSTRIAL DR |
| City | DELAND |
| State | FL |
| Zip Code | 32724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1811473275 | April Gustafson | Nurse Practitioner | 557 Adenmore Ter, Deland, FL 32724 | 2018-07-18 |
| 1245720820 | Total Renal Laboratories Inc | Clinical Medical Laboratory | 3000 Davita Way, Deland, FL 32724 | 2018-05-18 |
| 1790294742 | Deland Manor Assisted Living Corp | Assisted Living Facility | 245 S. Amelia Ave, Deland, FL 32724 | 2017-09-21 |
| 1639617954 | Starting Point Mental Health, LLC | Counselor | 620 East New York Ave Ste B, Deland, FL 32724 | 2017-02-07 |
| 1255877221 | Emily Eunice | Specialist/Technologist | 2589 W Lake Dr., Deland, FL 32724 | 2017-01-13 |
| 1073960357 | Robert Solomon Jr. | Family Medicine | 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 | 2016-05-17 |
| 1730535568 | Harold Alexander | Hearing Instrument Specialist | 124 S. Amelia Ave, Unit #b, Deland, FL 32724 | 2016-05-11 |
| 1720406747 | Angel Care Homes LLC | Assisted Living Facility | 1349 E. Wisconsin Avenue, Deland, FL 32724 | 2014-04-07 |
| 1508298860 | Lindenlea Assisted Living Inc. | Assisted Living Facility | 1180 Jackson Ranch Rd, Deland, FL 32724 | 2013-08-08 |
| Find all providers in zip 32724 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720820 | Total Renal Laboratories Inc | Clinical Medical Laboratory | 3000 Davita Way, Deland, FL 32724 | 2018-05-18 |
| 1598700395 | Central Florida Pathologists Laboratory Inc | Clinical Medical Laboratory | 121 W Plymouth Ave, A 3, Deland, FL 32720-2700 | 2006-06-17 |
| 1518940618 | Laboratory Corporation of America | Clinical Medical Laboratory | 929 N Spring Garden Ave, Deland, FL 32720-0900 | 2005-11-22 |
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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.