ADVENTHEALTH DAYTONA BEACH
NPI 1003569492
Clinic/Center - Rehabilitation, Cardiac Facilities in Daytona Beach, FL

Active since January 27, 2022CLIA Certified · 2 labs
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117(386) 231-6000 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adventhealth Daytona Beach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVENTHEALTH DAYTONA BEACH (NPI 1003569492) is a healthcare organization registered as a rehabilitation, cardiac facilities in Daytona Beach, Florida and active in the NPI registry since January 2022. The organization holds 2 active CLIA laboratory certificates and lists Cory Douglas Domayer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003569492
Entity TypeOrganization
Primary Taxonomy261QR0404X
Legal Business NameMEMORIAL HEALTH SYSTEMS INC
Location Address301 MEMORIAL MEDICAL PKWYDaytona Beach, FL 32117-5167
Mailing Address707 W Granada Blvd, Ste 203Ormond Beach, FL 32174-5179 · (386) 231-4252 · Fax (386) 676-2560
Organization SubpartYes
Authorized OfficialCory Douglas DomayerCfo · (386) 231-3906
Enumeration DateJanuary 27, 2022
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
NPI 1003569492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Cardiac FacilitiesAmbulatory Health Care Facilities
Taxonomy Code261QR0404X
301 MEMORIAL MEDICAL PKWY, Daytona Beach, FL 32117

Other Names 2

Doing Business AsAdventhealth Daytona Beach
Doing Business AsFlorida Hospital Memorial Medical Center

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2009123

Adventhealth Lab · Daytona Beach, FL
Active · expires Jun 24, 2028
CLIA Number10D2009123
Laboratory TypeHospital
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorNick Creech
Laboratory Phone(386) 231-3027
Laboratory LocationAdventhealth Lab301 Memorial Medical Pkwy, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D0665348

Adventhealth Lab · Daytona Beach, FL
Active · expires Feb 27, 2027
CLIA Number10D0665348
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Jason Chen
Laboratory Phone(386) 231-3035
Laboratory LocationAdventhealth Lab301 Memorial Medical Pkwy Attn George Lehan , Lab Director, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
Nurse Anesthetist, Certified Registered
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
Pediatrics
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
Internal Medicine
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
Long Term Care Hospital
301 MEMORIAL MEDICAL PKWY, 11TH FLOOR
DAYTONA BEACH, FL 32117
Nurse Anesthetist, Certified Registered
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
Nurse Practitioner (Family)
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
Emergency Medicine
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Health Systems Inc's NPI number?

The NPI number for Memorial Health Systems Inc is 1003569492. It was assigned to this organization in the NPPES registry on January 27, 2022. The provider is doing business as Adventhealth Daytona Beach and Florida Hospital Memorial Medical Center.

Where is Memorial Health Systems Inc located?

Memorial Health Systems Inc is located at 301 Memorial Medical Pkwy, Daytona Beach, FL 32117. The listed phone number is (386) 231-6000.

What is Memorial Health Systems Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Cardiac Facilities, with taxonomy code 261QR0404X.

Does Memorial Health Systems Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Memorial Health Systems Inc was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.