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MEDSTATION PRIMARY CLINIC LLC
NPI 1215756770
Clinic/Center in Weston, FL

Active since October 10, 2024CLIA Certified · 3 labs
1362 WESTON RD, WESTON, FL 33326(954) 368-1302(954) 656-3219 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medstation Primary Clinic Llc NPPES

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

MEDSTATION PRIMARY CLINIC LLC (NPI 1215756770) is a healthcare organization registered as a clinic/center in Weston, Florida and active in the NPI registry since October 2024. The organization holds 3 active CLIA laboratory certificates and lists Vitor Lima, Owner-manager, as its authorized official.

NPPES Registry Identity

NPI1215756770
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMEDSTATION PRIMARY CLINIC LLC
Location Address1362 WESTON RDWeston, FL 33326
Mailing Address1362 Weston RdWeston, FL 33326 · (954) 368-1302 · Fax (954) 656-3219
Phone(954) 368-1302
Fax(954) 656-3219
Organization SubpartNo
Authorized OfficialVitor LimaOwner-manager · (954) 304-0368
Enumeration DateOctober 10, 2024
✔ NPI 1215756770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1362 WESTON RD, Weston, FL 33326
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CLIA Laboratory Certificates CMS CLIA 3

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 10D2310609

Medstation Primary Clinic LLC · Weston, FL
Active · expires Sep 5, 2026
CLIA Number10D2310609
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorJacquemin Thierry
Laboratory Phone(954) 469-3713
Laboratory LocationMedstation Primary Clinic LLC1362 Weston Rd, Weston, FL 33326
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2321429

Medstation Primary Clinic LLC · Boca Raton, FL
Active · expires Apr 2, 2027
CLIA Number10D2321429
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorEvlyn Eickhoff
Laboratory Phone(954) 368-1302
Laboratory LocationMedstation Primary Clinic LLC2499 Glades Rd Ste 207, Boca Raton, FL 33431
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2193179

Brazilian Clinic LLC Dba Medstation · Pompano Beach, FL
Active · expires Sep 16, 2026
CLIA Number10D2193179
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorCesar L. Perez
Laboratory Phone(954) 368-1302
Laboratory LocationBrazilian Clinic LLC Dba Medstation3402 N Andrews Ave Ext, Pompano Beach, FL 33064
CLIA data matches this NPI record on: 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 Medstation Primary Clinic LLC's NPI number?

The NPI number for Medstation Primary Clinic LLC is 1215756770. It was assigned to this organization in the NPPES registry on October 10, 2024.

Where is Medstation Primary Clinic LLC located?

Medstation Primary Clinic LLC is located at 1362 Weston Rd, Weston, FL 33326. The listed phone number is (954) 368-1302.

What is Medstation Primary Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Medstation Primary Clinic LLC hold CLIA laboratory certificates?

Yes. 3 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 Medstation Primary Clinic LLC was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.