MY CLINICAL LAB INC


Address: 15481 Sw 12th St Ste 303, Sunrise, FL 33326-1993
Phone: 9545308460

MY CLINICAL LAB INC (NPI# 1386205474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386205474
Entity Type Organization
Organization Name MY CLINICAL LAB INC
Practice Address 15481 Sw 12th St Ste 303
Sunrise
FL 33326-1993
Practice Telephone 9545308460
Mailing Telephone 9545308460
Enumeration Date 2019-06-28
Last Update Date 2019-06-28
Authorized Official Name MR. JUAN MESA (PRESIDENT)
Authorized Official Telephone 9545308460
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Office Location

Street Address 15481 SW 12TH ST STE 303
City SUNRISE
State FL
Zip Code 33326-1993

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NPI Name Taxonomy Address Enumeration
1407315575 Aitor Lartitegui Pathology 15481 Sw 12th St Ste 303, Sunrise, FL 33326-1993 2019-03-18

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

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City SUNRISE
Zip Code 33326

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Dataset Information

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.

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