PEDIATRIC MEDICAL DAYCARE OF FORT LAUDERDALE, LLC - NPI 1013639673

Q: What is Pediatric Medical Daycare Of Fort Lauderdale, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

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About Pediatric Medical Daycare Of Fort Lauderdale, Llc NPPES

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

PEDIATRIC MEDICAL DAYCARE OF FORT LAUDERDALE, LLC (NPI 1013639673) is a healthcare organization registered as a medically fragile infants and children day care in Fort Lauderdale, Florida and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Karrie A Toms, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013639673

Entity TypeOrganization

Primary Taxonomy261QM3000X

Legal Business NamePEDIATRIC MEDICAL DAYCARE OF FORT LAUDERDALE, LLC

Location Address2122 NW 62ND ST STE 103Fort Lauderdale, FL 33309-1866

Mailing Address5310 Nw 33rd Ave Ste 211Fort Lauderdale, FL 33309-6319 · (954) 731-3350

Phone(954) 838-5288

Organization SubpartNo

Authorized OfficialKarrie A TomsCfo · (954) 731-3350

Enumeration DateSeptember 12, 2022

Last NPPES UpdateApril 24, 2023

NPPES CertifiedApril 24, 2023

✔ NPI 1013639673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities

Taxonomy Code261QM3000X

Definition

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

Also ListedNursing CareTaxonomy 251J00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

2122 NW 62ND ST STE 103, Fort Lauderdale, FL 33309

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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 10D2303742

Pediatric Medical Daycare Of Ft Lauderdale LLC · Fort Lauderdale, FL

Active · expires Apr 29, 2028

CLIA Number10D2303742

Laboratory TypePrescribed Ped Extended

Certificate Effective DateApril 30, 2026

Certificate Expiration DateApril 29, 2028

Laboratory DirectorGiselle Crombie

Laboratory Phone(954) 838-5288

Laboratory LocationPediatric Medical Daycare Of Ft Lauderdale LLC2122 W Cypress Creek Rd, Fort Lauderdale, FL 33309

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SUNSHINE KIDS PEDIATRIC CARE, LLC, FLL, THERAPY

Clinic/Center

2122 NW 62ND ST STE 103
FORT LAUDERDALE, FL 33309

Broward County (954) 881-8230

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 Pediatric Medical Daycare Of Fort Lauderdale, LLC's NPI number?

The NPI number for Pediatric Medical Daycare Of Fort Lauderdale, LLC is 1013639673. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Pediatric Medical Daycare Of Fort Lauderdale, LLC located?

Pediatric Medical Daycare Of Fort Lauderdale, LLC is located at 2122 NW 62nd St Ste 103, Fort Lauderdale, FL 33309. The listed phone number is (954) 838-5288.

What is Pediatric Medical Daycare Of Fort Lauderdale, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

Does Pediatric Medical Daycare Of Fort Lauderdale, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2303742) is associated with this NPI, valid through April 29, 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 Pediatric Medical Daycare Of Fort Lauderdale, LLC was last updated on April 24, 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.