PROHEALTH DORAL MEDICAL INC
NPI 1023568318
Clinic/Center in Doral, FL
- Organization
- Clinic/Center
- CLIA Number: 10D2156318
- CLIA Cert. Type: Other - RESEARCH CENTER
- CLIA Exp. Date: 10-15-2026
About PROHEALTH DORAL MEDICAL INC
This page provides the complete NPI Profile along with additional information for Prohealth Doral Medical Inc, a provider established in Doral, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1023568318 assigned on October 2016. The practitioner's primary taxonomy code is 261Q00000X with license number ME32388 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Otto Urdaneta (President)
- NPI
- 1023568318 Verify this NPI
- Provider Name
- PROHEALTH DORAL MEDICAL INC
- Entity Type
- Organization
- Location Address
- 8247 NW 36TH ST DORAL, FL 33166
- Location Phone
- (786) 422-4309
- Mailing Address
- 8247 NW 36TH ST DORAL, FL 33166
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-11-2016
- Last Update Date
- 10-11-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- ME32388
- License State
- FL
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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 this NPI number is:
- CLIA Number
- 10D2156318
- Facility Type
- Other - RESEARCH CENTER
- Certificate Effective Date
- October 16, 2024
- Certificate Expiration Date
- October 15, 2026
- Laboratory Director
- DAVID JAVITA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prohealth Doral Medical 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.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023568318, enumerated as an "organization" on October 11, 2016.
The provider is located at 8247 NW 36TH ST DORAL, FL 33166 and the phone number is (786) 422-4309.
Clinic/Center with taxonomy code 261Q00000X.
