JENCARE NEIGHBORHOOD MEDICAL CENTER
NPI 1194085852
Specialist in New Orleans, LA
- Organization
- Specialist
- CLIA Number: 14D2054166
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-14-2027
About JENCARE NEIGHBORHOOD MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Jencare Neighborhood Medical Center, a provider established in New Orleans, Louisiana operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1194085852 assigned on May 2012. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Jencare Neighborhood Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Jencare Neighborhood Medical Center. The authorized official of this NPI record is Mary Chen (Authorized Official)
- NPI
- 1194085852 Verify this NPI
- Provider Legal Name
- JENCARE NEIGHBORHOOD MEDICAL CENTER MIDCITY, LLC
- Other Organization Name
- JENCARE NEIGHBORHOOD MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4710 SOUTH CARROLLTON AVENUE NEW ORLEANS, LA 70119
- Location Phone
- (504) 454-9020
- Location Fax
- (504) 910-9371
- Mailing Address
- 1395 NW 167TH STREET MIAMI GARDENS, FL 33169
- Mailing Phone
- (305) 628-6117
- Mailing Fax
- (305) 650-0674
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-29-2012
- Last Update Date
- 10-31-2024
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332900000X | Suppliers | Non-Pharmacy Dispensing Site |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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
- 14D2054166
- Facility Type
- Physician Office
- Certificate Effective Date
- February 15, 2025
- Certificate Expiration Date
- February 14, 2027
- Laboratory Director
- GORDON L. CHEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jencare Neighborhood Medical Center 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 1194085852, enumerated as an "organization" on May 29, 2012.
The provider is located at 4710 SOUTH CARROLLTON AVENUE NEW ORLEANS, LA 70119 and the phone number is (504) 454-9020.
Specialist with taxonomy code 174400000X.
