ALTA MEDICAL CARE, LLC
NPI 1265282404
Clinic/Center - Primary Care in Sunrise, FL

Active since March 22, 2024CLIA 10D2316371 · Waiver
3537 N PINE ISLAND RD, SUNRISE, FL 33351(954) 270-4325 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alta Medical Care, Llc NPPES

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

ALTA MEDICAL CARE, LLC (NPI 1265282404) is a healthcare organization registered as a primary care in Sunrise, Florida and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Benz R Celestin, Managing Owner, as its authorized official.

NPPES Registry Identity

NPI1265282404
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameALTA MEDICAL CARE, LLC
Location Address3537 N PINE ISLAND RDSunrise, FL 33351-6638
Mailing Address3537 N Pine Island RdSunrise, FL 33351-6638 · (954) 270-4325
Organization SubpartNo
Authorized OfficialBenz R CelestinManaging Owner · (954) 270-4325
Enumeration DateMarch 22, 2024
Last NPPES UpdateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
NPI 1265282404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3537 N PINE ISLAND RD, Sunrise, FL 33351

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 10D2316371

Alta Medical Care LLC · Sunrise, FL
Active · expires Jan 2, 2027
CLIA Number10D2316371
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorCharles H. Richard
Laboratory Phone(954) 572-1452
Laboratory LocationAlta Medical Care LLC3537 North Pine Island Rd, Sunrise, FL 33351
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Chiropractor (Rehabilitation)
3537 N PINE ISLAND RD
SUNRISE, FL 33351
Nurse Practitioner
3537 N PINE ISLAND RD
SUNRISE, FL 33351

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 Alta Medical Care, LLC's NPI number?

The NPI number for Alta Medical Care, LLC is 1265282404. It was assigned to this organization in the NPPES registry on March 22, 2024.

Where is Alta Medical Care, LLC located?

Alta Medical Care, LLC is located at 3537 N Pine Island Rd, Sunrise, FL 33351. The listed phone number is (954) 270-4325.

What is Alta Medical Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Alta Medical Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2316371) is associated with this NPI, valid through January 2, 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 Alta Medical Care, LLC was last updated on October 2, 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.