MEDFAST URGENT CARE CENTERS, LLC
NPI 1174262232
Clinic/Center - Urgent Care in Port Orange, FL
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 10D2263914
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 07-06-2026
About MEDFAST URGENT CARE CENTERS, LLC
This page provides the complete NPI Profile along with additional information for Medfast Urgent Care Centers, Llc, a provider established in Port Orange, Florida operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1174262232 assigned on May 2022. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is David Williams (Cmo)
- NPI
- 1174262232 Verify this NPI
- Provider Name
- MEDFAST URGENT CARE CENTERS, LLC
- Entity Type
- Organization
- Location Address
- 1400 DUNLAWTON AVE UNIT 1-A PORT ORANGE, FL 32127
- Location Phone
- (321) 633-3278
- Mailing Address
- 390 N COURTENAY PKWY MERRITT ISLAND, FL 32953
- Mailing Phone
- (321) 633-3162
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2022
- Last Update Date
- 05-27-2022
- 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 Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
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
- 10D2263914
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- July 07, 2024
- Certificate Expiration Date
- July 06, 2026
- Laboratory Director
- DAVID T. WILLIAMS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medfast Urgent Care Centers, Llc 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 1174262232, enumerated as an "organization" on May 27, 2022.
The provider is located at 1400 DUNLAWTON AVE UNIT 1-A PORT ORANGE, FL 32127 and the phone number is (321) 633-3278.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
