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CLINICA GUADALUPE MESQUITE LLC
NPI 1013603745
Family Medicine in Mesquite, TX

Active since April 14, 2023CLIA 45D2263493 · Waiver
1100 N TOWN EAST BLVD STE 102, MESQUITE, TX 75150(469) 709-8017 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clinica Guadalupe Mesquite Llc NPPES

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

CLINICA GUADALUPE MESQUITE LLC (NPI 1013603745) is a healthcare organization registered as a family medicine in Mesquite, Texas and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through June 28, 2028 and lists Cindy Olalde, Officer, as its authorized official.

NPPES Registry Identity

NPI1013603745
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLINICA GUADALUPE MESQUITE LLC
Location Address1100 N TOWN EAST BLVD STE 102Mesquite, TX 75150-4679
Mailing Address14951 Dallas Pkwy Ste 190Dallas, TX 75254-6894
Phone(469) 709-8017
Organization SubpartNo
Authorized OfficialCindy OlaldeOfficer · (214) 240-1506
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
✔ NPI 1013603745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1100 N TOWN EAST BLVD STE 102, Mesquite, TX 75150
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Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

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 45D2263493

Clinica Guadalaupe Mesquite, LLC · Mesquite, TX
Active · expires Jun 28, 2028
CLIA Number45D2263493
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorLeeor B. Peleg
Laboratory Phone(469) 606-0753
Laboratory LocationClinica Guadalaupe Mesquite, LLC1100 N Town East Blvd Suite 102, Mesquite, TX 75150
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Clinica Guadalupe Mesquite LLC's NPI number?

The NPI number for Clinica Guadalupe Mesquite LLC is 1013603745. It was assigned to this organization in the NPPES registry on April 14, 2023.

Where is Clinica Guadalupe Mesquite LLC located?

Clinica Guadalupe Mesquite LLC is located at 1100 N Town East Blvd Ste 102, Mesquite, TX 75150. The listed phone number is (469) 709-8017.

What is Clinica Guadalupe Mesquite LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Clinica Guadalupe Mesquite LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2263493) is associated with this NPI, valid through June 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinica Guadalupe Mesquite LLC was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.