HEALTHSTAT ONSITE CLINIC- MILLIKEN SIVANCE
NPI 1083026876
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Gainesville, FL
- Organization
- Preventive Medicine
- Preventive Medicine/Occupational Environ...
- CLIA Number: 42D1065213
- CLIA Cert. Type: Other
- CLIA Exp. Date: 02-25-2027
About HEALTHSTAT ONSITE CLINIC- MILLIKEN SIVANCE
This page provides the complete NPI Profile along with additional information for Healthstat Onsite Clinic- Milliken Sivance, a provider established in Gainesville, Florida operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1083026876 assigned on May 2014. The practitioner's primary taxonomy code is 2083P0500X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Warren Hutton (Coo)
- NPI
- 1083026876 Verify this NPI
- Provider Name
- HEALTHSTAT ONSITE CLINIC- MILLIKEN SIVANCE
- Entity Type
- Organization
- Location Address
- 4044 NE 54TH AVE GAINESVILLE, FL 32609
- Location Phone
- (352) 244-2318
- Mailing Address
- 4651 CHARLOTTE PARK DR STE 300 CHARLOTTE, NC 28217
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-28-2014
- Last Update Date
- 05-28-2014
- 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
Preventive Medicine Preventive Medicine/Occupational Environmental Medicine
- Taxonomy Code
- 2083P0500X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
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.
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
- 42D1065213
- Facility Type
- Other
- Certificate Effective Date
- February 26, 2025
- Certificate Expiration Date
- February 25, 2027
- Laboratory Director
- JAMIE PUCKETT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Healthstat Onsite Clinic- Milliken Sivance 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083026876, enumerated as an "organization" on May 28, 2014.
The provider is located at 4044 NE 54TH AVE GAINESVILLE, FL 32609 and the phone number is (352) 244-2318.
Preventive Medicine with taxonomy code 2083P0500X and a focus in Preventive Medicine/Occupational Environmental Medicine.
