MEDICAL CONSULTING CENTER INC NPI 1003004029

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Hialeah, FL

Organization Clinic/Center Mental Health (Including Community Menta... CLIA Number 10D2023879 CLIA Certificate of Waiver

About MEDICAL CONSULTING CENTER INC

Medical Consulting Center Inc is a provider established in Hialeah, Florida specializing in clinic/center (mental health (including community mental health center)) . The NPI number of Medical Consulting Center Inc is 1003004029 and was assigned on October 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Masiel Moreira (President)

The CLIA number of Medical Consulting Center Inc is 10D2023879 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Medical Consulting Center Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003004029

Provider NameMEDICAL CONSULTING CENTER INC
Provider Location Address1671 W 37TH ST STE 3 HIALEAH, FL 33012
Provider Mailing Address1671 W 37TH ST STE 3 HIALEAH, FL 33012
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-04-2007
Last Update Date09-08-2018

Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)

Business Address

MEDICAL CONSULTING CENTER INC
1671 W 37TH ST STE 3
HIALEAH, FL
ZIP 33012
Phone: (305) 649-0492
Fax: (305) 649-0496

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Mailing Address

MEDICAL CONSULTING CENTER INC
1671 W 37TH ST STE 3
HIALEAH, FL
ZIP 33012
Phone: (305) 649-0492
Fax: (305) 649-0496

Authorized Official

Authorized Official Name MASIEL MOREIRA
Authorized Official TitlePRESIDENT
Authorized Official Phone(305) 649-0492

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003004029 is:

CLIA Number10D2023879
Facility TypeOTHER
Certificate TypeCertificate of Waiver

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558889832HRMAX PERFORMANCE, INC
Organization
Clinic/Center (Physical Therapy)1671 W 37TH ST STE 3
HIALEAH, FL 33012
(786) 515-3156
1760954945MOREIRA MEDICAL GROUP, CORP.
Organization
Psychiatry & Neurology (Psychiatry)1671 W 37TH ST STE 3
HIALEAH, FL 33012
(786) 515-3156

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.