P,E,T. CT & MRI OF MIAMI, LLC
NPI 1225486848
Clinic/Center in Miami, FL

Active since May 25, 2016CLIA 10D2052614 · Waiver
12905 SW 42ND ST, SUITE 106, MIAMI, FL 33175(305) 229-2020(305) 229-2218 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About P,e,t. Ct & Mri Of Miami, Llc NPPES

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

P,E,T. CT & MRI OF MIAMI, LLC (NPI 1225486848) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Keila Hoover, President, as its authorized official.

NPPES Registry Identity

NPI1225486848
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameP,E,T. CT & MRI OF MIAMI, LLC
Location Address12905 SW 42ND ST, SUITE 106Miami, FL 33175-2905
Mailing Address12905 Sw 42nd St, Suite 106Miami, FL 33175-2905 · (305) 229-2020 · Fax (305) 229-2218
Fax(305) 229-2218
Organization SubpartNo
Authorized OfficialKeila HooverPresident · (305) 458-0211
Enumeration DateMay 25, 2016
Last NPPES UpdateNovember 16, 2022
NPPES CertifiedNovember 16, 2022
NPI 1225486848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in FL · HCC8124
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).
12905 SW 42ND ST, Miami, FL 33175

Other Identifiers 1

Medicaid003567600FL

CLIA Laboratory Certificates CMS CLIA

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 10D2052614

Pet Ct And Mri Of Miami LLC · Miami, FL
Active · expires Jan 14, 2027
CLIA Number10D2052614
Laboratory TypeIdtf
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorRoyd Lemus
Laboratory Phone(305) 229-2020
Laboratory LocationPet Ct And Mri Of Miami LLC12905 SW 42nd St Ste 106, Miami, FL 33175
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
12905 SW 42ND ST, SUITE 202
MIAMI, FL 33175
Home Health
12905 SW 42ND ST, 109
MIAMI, FL 33175
Case Manager/Care Coordinator
12905 SW 42ND ST, STE 107
MIAMI, FL 33175
Clinic/Center (Mental Health (Including Community Mental Health Center))
12905 SW 42ND ST
MIAMI, FL 33175
Internal Medicine
12905 SW 42ND ST, SUITE 103
MIAMI, FL 33175
Clinic/Center (Primary Care)
12905 SW 42ND ST, SUITE 201
MIAMI, FL 33175
Health Maintenance Organization
12905 SW 42ND ST, SUITE 212
MIAMI, FL 33175
Pediatrics
12905 SW 42ND ST, SUITE 101
MIAMI, FL 33175

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 P,e,t. Ct & Mri Of Miami, LLC's NPI number?

The NPI number for P,e,t. Ct & Mri Of Miami, LLC is 1225486848. It was assigned to this organization in the NPPES registry on May 25, 2016.

Where is P,e,t. Ct & Mri Of Miami, LLC located?

P,e,t. Ct & Mri Of Miami, LLC is located at 12905 SW 42nd St Suite 106, Miami, FL 33175. The listed phone number is (305) 229-2020.

What is P,e,t. Ct & Mri Of Miami, LLC's specialty?

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

Does P,e,t. Ct & Mri Of Miami, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2052614) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for P,e,t. Ct & Mri Of Miami, LLC was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.