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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
Street Address |
15481 SW 12TH ST STE 303 |
City | SUNRISE |
State | FL |
Zip Code | 33326-1993 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407315575 | Aitor Lartitegui | Pathology | 15481 Sw 12th St Ste 303, Sunrise, FL 33326-1993 | 2019-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235739327 | Rosi Gimeno Therapy, Inc | Counselor | 304 Indian Trace, Suite 933, Weston, FL 33326 | 2020-10-28 |
1003425919 | Austin Lee Williams | Counselor | 1398 Sw 160th, Sunrise, FL 33326 | 2020-07-27 |
1467086272 | Myriam Taveras D.m.d P.a | Clinic/Center | 15810 West Sr 84, Sunrise, FL 33326 | 2020-03-02 |
1487288288 | Marcella Patino | Nurse Practitioner | 2300 North Commerce Parkway, Suite 313, Weston, FL 33326 | 2020-03-02 |
1194375451 | Heather Silversmith | Dietitian, Registered | 1875 North Corporate Lakes Blvd, Suite 300, Weston, FL 33326 | 2019-09-18 |
1669039285 | Jennifer Mann | Dietitian, Registered | 1647 Island Way, Weston, FL 33326 | 2019-05-20 |
1194283820 | Focused Home Health Agency, Inc. | Home Health | 2394 Weston Rd, Weston, FL 33326 | 2019-03-12 |
1083100796 | Comfort Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1398 Sw 160th Avenue, Suite 101, Sunrise, FL 33326 | 2018-07-05 |
1356839120 | Vision Optique II LLC | Optometrist | 2200 N Commerce Pkwy Ste 110, Weston, FL 33326 | 2018-04-27 |
1033654678 | Sirahaydee Pena-alcantara | Registered Nurse | 1571 Fairlake Trace Apt 1608, Weston, FL 33326 | 2017-01-05 |
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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. |
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1871048389 | Southern Cardio LLC | Clinical Medical Laboratory | 7230 Nw 20th Ct, Sunrise, FL 33313-3806 | 2016-08-25 |
1467845032 | Centurion Diagnostic, Inc. | Clinical Medical Laboratory | 1399 Shotgun Rd, Sunrise, FL 33326-1981 | 2015-03-06 |
1003222605 | Reliance Laboratory Testing, Inc | Clinical Medical Laboratory | 5387 N Nob Hill Rd, Sunrise, FL 33351-4761 | 2014-07-03 |
1245469527 | Century Clinical Lab, Inc. | Clinical Medical Laboratory | 1395 Shotgun Rd, Sunrise, FL 33326 | 2009-07-08 |
1962649459 | International Surgical Training Inc. | Clinical Medical Laboratory | 4577 N Nob Hill Rd., Suite 207, Sunrise, FL 33351-4712 | 2009-01-21 |
1942545421 | Testing Matters Inc | Clinical Medical Laboratory | 14001 Nw 4th St, Sunrise, FL 33325-6206 | 2012-12-10 |
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1962002501 | Impak Diagnostics Laboratory 'llc' | Clinical Medical Laboratory | 5885 Margate Blvd, Margate, FL 33063-2834 | 2020-10-30 |
1346840485 | Millenia Advanced Scientific LLC | Clinical Medical Laboratory | 4303 Vineland Rd Ste F10, Orlando, FL 32811-7372 | 2020-10-28 |
1922607886 | Emed Labs LLC | Clinical Medical Laboratory | 990 Biscayne Blvd Ste 1501, Miami, FL 33132-1559 | 2020-10-21 |
1033718333 | Jmj Labs LLC Dba Arcpoint Labs of Saint Petersburg | Clinical Medical Laboratory | 4713 66th St N, Kenneth City, FL 33709-3113 | 2020-10-19 |
1134728405 | Biolabs Diagnostics LLC | Clinical Medical Laboratory | 7865 Sw Ellipse Way, Stuart, FL 34997-7247 | 2020-10-19 |
1013516319 | Axe Analytics, LLC | Clinical Medical Laboratory | 917 Se Lincoln Ave Ste B, Stuart, FL 34994-3810 | 2020-10-19 |
1497352082 | Medlab Diagnostics, LLC | Clinical Medical Laboratory | 1430 S Dixie Hwy Ste 320, Coral Gables, FL 33146-3175 | 2020-10-06 |
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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.