PURE LIFE RENAL OF MIRAMAR, LLC
NPI 1225671118
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Miramar, FL
About Pure Life Renal Of Miramar, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PURE LIFE RENAL OF MIRAMAR, LLC (NPI 1225671118) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Miramar, Florida and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Jeff Fernandez, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 10D2197300
Pure Life Renal Of Miramar · Miramar, FLFrequently 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 Pure Life Renal Of Miramar, LLC's NPI number?
The NPI number for Pure Life Renal Of Miramar, LLC is 1225671118. It was assigned to this organization in the NPPES registry on October 23, 2019.
Where is Pure Life Renal Of Miramar, LLC located?
Pure Life Renal Of Miramar, LLC is located at 3180 S University Dr, Miramar, FL 33025. The listed phone number is (954) 962-5734.
What is Pure Life Renal Of Miramar, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
Does Pure Life Renal Of Miramar, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2197300) is associated with this NPI, valid through October 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pure Life Renal Of Miramar, LLC accept?
Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Pure Life Renal Of Miramar, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pure Life Renal Of Miramar, LLC was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pure Life Renal Of Miramar, Llc · NPI 1225671118
End-Stage Renal Disease (ESRD) Treatment organization in Miramar, Florida. Organization record, active in the CMS NPPES registry since October 23, 2019.
## Identity
- **NPI:** 1225671118 (Entity type: Organization)
- **Enumerated:** October 23, 2019
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Organization subpart:** No
- **Authorized official:** Jeff Fernandez, CFO
## Practice location
- **Address:** 3180 S UNIVERSITY DR, Miramar, FL 33025-3005
- **Phone:** (954) 962-5734
## Record status
- **NPPES last updated:** August 12, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225671118) · Data from the CMS NPPES public registry.