CARBON HEALTH MEDICAL GROUP OF FLORIDA PA
NPI 1164282018
Clinic/Center - Urgent Care in Mill Creek, WA

Active since March 19, 2024CLIA Certified · 2 labs
13210 39TH AVE SE STE 102, MILL CREEK, WA 98012(425) 403-2873(888) 972-1912 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Jul 10, 2024 (2 updates tracked since 2024).

About Carbon Health Medical Group Of Florida Pa NPPES

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

CARBON HEALTH MEDICAL GROUP OF FLORIDA PA (NPI 1164282018) is a healthcare organization registered as an urgent care in Mill Creek, Washington and active in the NPI registry since March 2024. The organization holds 2 active CLIA laboratory certificates and lists Marley Page, Director, as its authorized official.

NPPES Registry Identity

NPI1164282018
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCARBON HEALTH MEDICAL GROUP OF FLORIDA PA
Location Address13210 39TH AVE SE STE 102Mill Creek, WA 98012-6145
Mailing Address2100 Franklin St Ste 355Oakland, CA 94612-3140
Fax(888) 972-1912
Organization SubpartNo
Authorized OfficialMarley PageDirector · (417) 861-9739
Enumeration DateMarch 19, 2024
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
NPI 1164282018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
13210 39TH AVE SE STE 102, Mill Creek, WA 98012

CLIA Laboratory Certificates CMS CLIA 2

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 10D2271701

Carbon Health Medical Group Of Florida, PA · Boca Raton, FL
Active · expires Nov 6, 2026
CLIA Number10D2271701
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorSujal Mandavia
Laboratory Phone(425) 403-2873
Laboratory LocationCarbon Health Medical Group Of Florida, PA9162 Glades Road, Boca Raton, FL 33434
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2268717

Carbon Health Medical Group Of Florida PA · Lake Worth, FL
Active · expires Sep 14, 2026
CLIA Number10D2268717
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorSujal Mandavia
Laboratory Phone(425) 403-2873
Laboratory LocationCarbon Health Medical Group Of Florida PA8724 Lake Worth Road Suite 600 Building B, Lake Worth, FL 33467
CLIA data matches this NPI record on: Name Phone
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 Carbon Health Medical Group Of Florida PA's NPI number?

The NPI number for Carbon Health Medical Group Of Florida PA is 1164282018. It was assigned to this organization in the NPPES registry on March 19, 2024.

Where is Carbon Health Medical Group Of Florida PA located?

Carbon Health Medical Group Of Florida PA is located at 13210 39th Ave SE Ste 102, Mill Creek, WA 98012. The listed phone number is (425) 403-2873.

What is Carbon Health Medical Group Of Florida PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Carbon Health Medical Group Of Florida PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Carbon Health Medical Group Of Florida PA was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.