THE MEDICAL CONCIERGE (EASTCOAST MEDICAL NETWORK INC) NPI 1013128420

Clinic/Center (Urgent Care) in Orlando, FL

NPI 1013128420 Organization Clinic/Center Urgent Care CLIA Number 10D2052407 CLIA Certificate of Waiver

About THE MEDICAL CONCIERGE (EASTCOAST MEDICAL NETWORK INC)

The Medical Concierge (eastcoast Medical Network Inc) is a provider established in Orlando, Florida specializing in clinic/center (urgent care) . The NPI number of The Medical Concierge (eastcoast Medical Network Inc) is 1013128420 and was assigned on May 2007. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The Medical Concierge (eastcoast Medical Network Inc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as The Medical Concierge. The authorized official of this NPI record is Melissa J Staffelli (Director Of Operations)

The CLIA number of The Medical Concierge is 10D2052407 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to The Medical Concierge 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

1013128420

Provider NameTHE MEDICAL CONCIERGE (EASTCOAST MEDICAL NETWORK INC)
Provider Location Address6000 TURKEY LAKE RD STE 208 ORLANDO, FL 32819
Provider Mailing Address6000 TURKEY LAKE RD STE 209 ORLANDO, FL 32819
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameTHE MEDICAL CONCIERGE
Other Name TypeDoing Business As (3)
Enumeration Date05-25-2007
Last Update Date12-13-2019


Primary Taxonomy

Taxonomy Code261QU0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationUrgent Care

Business Address

THE MEDICAL CONCIERGE
6000 TURKEY LAKE RD STE 208
ORLANDO, FL
ZIP 32819
Phone: (407) 648-5252
Fax: (407) 370-4126

Get Directions


Mailing Address

THE MEDICAL CONCIERGE
6000 TURKEY LAKE RD STE 209
ORLANDO, FL
ZIP 32819
Phone: (407) 648-5252
Fax: (407) 370-4126



Authorized Official

Authorized Official Name MELISSA J STAFFELLI
Authorized Official TitleDIRECTOR OF OPERATIONS
Authorized Official Phone(407) 648-5252

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 1013128420 is:

CLIA Number10D2052407
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1710525316EASTCOAST MEDICAL NETWORK INC
Organization
Clinic/Center (Urgent Care)6000 TURKEY LAKE RD STE 208
ORLANDO, FL 32819
(407) 648-5252
1801429444EASTCOAST MEDICAL NETWORK INC
Organization
Clinic/Center (Urgent Care)6000 TURKEY LAKE RD STE 208
ORLANDO, FL 32819
(407) 648-5252

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.