DVA LABORATORY SERVICES INC (NPI# 1730149709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730149709 |
| Entity Type | Organization |
| Organization Name | DVA LABORATORY SERVICES INC |
| Practice Address |
3951 Sw 30th Ave Ft Lauderdale FL 33312-6816 |
| Practice Telephone | 3867381809 |
| Practice Fax Number | 3867381706 |
| Mailing Telephone | 3867381809 |
| Mailing Fax Number | 3867381706 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-01-18 |
| Authorized Official Name | MS. SANDY ROLLO (DIRECTOR - PATIENT ACCOUNTING) |
| Authorized Official Telephone | 3867381809 |
| Is Organization Subpart | Y |
| Parent Organization Name | DVA RENAL HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 800001410 | FL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 074432801 | 05 | |
| VA | 001083741 | 05 | |
| KS | 100286750A | 05 | |
| MD | 748310400 | 05 | |
| MA | 0805092 | 05 | |
| NJ | 5624401 | 05 | |
| SC | L00079 | 05 | |
| FL | 030154000 | 05 | |
| KY | 37902335 | 05 | |
| OK | 100758150A | 05 | |
| NC | 7001058 | 05 | |
| CO | 98003700 | 05 | |
| MO | 702905100 | 05 | |
| CA | XLAB01150 | 05 | |
| AL | 000008374 | 05 | |
| GA | 000418723A | 05 | |
| MI | 4258046 | 05 | |
| WA | 7077761 | 05 | |
| PA | 0016620560005 | 05 | |
| LA | 1693774 | 05 |
| Street Address |
3951 SW 30TH AVE |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33312-6816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| 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 |
|---|---|---|---|---|
| 1801349170 | Oracle Diagnostics LLC | Clinical Medical Laboratory | 6831 Nw 20th Ave Ste 108, Ft Lauderdale, FL 33309-1505 | 2016-08-03 |
| 1598117186 | Clarity Genetics LLC | Clinical Medical Laboratory | 5231 Nw 33rd Ave, Ft Lauderdale, FL 33309-6302 | 2016-07-07 |
| 1093177420 | National Laboratory Group LLC | Clinical Medical Laboratory | 6831 Nw 20th Ave Ste 104, Ft Lauderdale, FL 33309-1505 | 2016-03-24 |
| 1629469077 | Satori Waters, LLC | Clinical Medical Laboratory | 6831 Nw 20th Ave, Suite 101, Ft Lauderdale, FL 33309-1505 | 2015-02-06 |
| 1992823371 | Immuno Laboratories of Florida, Inc | Clinical Medical Laboratory | 6801 Powerline Rd, Ft Lauderdale, FL 33309-2155 | 2007-03-26 |
| 1467539429 | Roger H Stewart Md Pa | Clinical Medical Laboratory | 6550 N Federal Hwy Ste 320, Ft Lauderdale, FL 33308-1400 | 2006-11-01 |
| 1922007947 | Unilab of Dade Inc | Clinical Medical Laboratory | 2145 Davie Blvd, #106, Ft Lauderdale, FL 33312-3161 | 2005-07-20 |
| 1447629779 | Treatment Resources of Margate, LLC | Clinical Medical Laboratory | 6831 Nw 20th Ave, Suite 200, Ft Lauderdale, FL 33309 | 2015-09-16 |
| 1568830545 | Treatment Resources of Margate, LLC | Clinical Medical Laboratory | 6831 Nw 20th Ave, Ft Lauderdale, FL 33309-1002 | 2015-09-09 |
| 1558737205 | Sw Labs, LLC | Clinical Medical Laboratory | 6831 Nw 20th Ave, Suite 100, Ft Lauderdale, FL 33309-1505 | 2015-08-18 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33312 |
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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.