Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ID CONSULTS AND SERVICES, PA
NPI 1043551468
Clinic/Center - Multi-Specialty in Key West, FL

Active since March 11, 2013CLIA 10D2129760 · Waiver
3142 NORTHSIDE DR, SUITE 101, KEY WEST, FL 33040(305) 615-3300 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Id Consults And Services, Pa NPPES

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

ID CONSULTS AND SERVICES, PA (NPI 1043551468) is a healthcare organization registered as a multi-specialty in Key West, Florida and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Darryl Wallace, Manager, as its authorized official.

NPPES Registry Identity

NPI1043551468
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameID CONSULTS AND SERVICES, PA
Location Address3142 NORTHSIDE DR, SUITE 101Key West, FL 33040-8012
Mailing Address3142 Northside Dr Ste 101Key West, FL 33040-8012 · (305) 615-3300
Organization SubpartNo
Authorized OfficialDarryl WallaceManager · (305) 615-3300
Enumeration DateMarch 11, 2013
Last NPPES UpdateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
NPI 1043551468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3142 NORTHSIDE DR, Key West, FL 33040

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 10D2129760

Id Consults And Services, PA · Key West, FL
Active · expires Apr 24, 2027
CLIA Number10D2129760
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorJerry J. Jackson
Laboratory Phone(770) 977-5056
Laboratory LocationId Consults And Services, PA3142 Northside Dr, Ste 101, Key West, FL 33040
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
3142 NORTHSIDE DR, SUITE 101
KEY WEST, FL 33040
Internal Medicine
3142 NORTHSIDE DR
KEY WEST, FL 33040
Nurse Practitioner (Women's Health)
3142 NORTHSIDE DR, SUITE 101
KEY WEST, FL 33040
Internal Medicine (Infectious Disease)
3142 NORTHSIDE DR
KEY WEST, FL 33040

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 Id Consults And Services, PA's NPI number?

The NPI number for Id Consults And Services, PA is 1043551468. It was assigned to this organization in the NPPES registry on March 11, 2013.

Where is Id Consults And Services, PA located?

Id Consults And Services, PA is located at 3142 Northside Dr Suite 101, Key West, FL 33040. The listed phone number is (305) 615-3300.

What is Id Consults And Services, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Id Consults And Services, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2129760) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Id Consults And Services, PA was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.