STAT MEDICAL CLINIC III INC
NPI 1316177470
Clinic/Center - Health Service in Hallandale Beach, FL

Q: What is Stat Medical Clinic III Inc's NPI number?

The NPI number for Stat Medical Clinic III Inc is 1316177470. It was assigned to this organization in the NPPES registry on July 22, 2009.

Q: What is Stat Medical Clinic III Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since July 22, 2009CLIA 10D0880250 · Waiver

800 E HALLANDALE BEACH BLVD, SUITE #22, HALLANDALE BEACH, FL 33009(954) 456-1212(954) 456-0748 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Stat Medical Clinic Iii Inc NPPES

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

STAT MEDICAL CLINIC III INC (NPI 1316177470) is a healthcare organization registered as a health service in Hallandale Beach, Florida and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Patrice Pryce, Billing, as its authorized official.

NPPES Registry Identity

NPI1316177470

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameSTAT MEDICAL CLINIC III INC

Location Address800 E HALLANDALE BEACH BLVD, SUITE #22Hallandale Beach, FL 33009-4477

Mailing Address800 E Hallandale Beach Blvd, Suite #22Hallandale Beach, FL 33009-4477 · (954) 456-1212 · Fax (954) 456-0748

Phone(954) 456-1212

Fax(954) 456-0748

Organization SubpartNo

Authorized OfficialPatrice PryceBilling · (954) 568-1033

Enumeration DateJuly 22, 2009

Last NPPES UpdateMay 18, 2012

✔ NPI 1316177470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

800 E HALLANDALE BEACH BLVD, Hallandale Beach, FL 33009

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Other Identifiers 1

Medicare UPIN95556

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stat Medical Clinic Iii Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stat Medical Clinic III Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adriano Di Giamberardino, D.O

Family Practice

NPI 1083607402

800 E HALLANDALE BEACH BLVD SUITE 22
Hallandale Beach, FL 33009

(954) 456-1212

✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D0880250

Stat Medical Clinic III Inc · Hallandale, FL

Active · expires Dec 7, 2027

CLIA Number10D0880250

Laboratory TypePhysician Office

Certificate Effective DateDecember 8, 2025

Certificate Expiration DateDecember 7, 2027

Laboratory DirectorAndrew Stachewitsch

Laboratory Phone(954) 456-1212

Laboratory LocationStat Medical Clinic III Inc800 E Hallandale Beach Blvd Ste 22, Hallandale, FL 33009

CLIA data matches this NPI record on: Name 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 Stat Medical Clinic III Inc's NPI number?

The NPI number for Stat Medical Clinic III Inc is 1316177470. It was assigned to this organization in the NPPES registry on July 22, 2009.

Where is Stat Medical Clinic III Inc located?

Stat Medical Clinic III Inc is located at 800 E Hallandale Beach Blvd Suite #22, Hallandale Beach, FL 33009. The listed phone number is (954) 456-1212.

What is Stat Medical Clinic III Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Stat Medical Clinic III Inc enrolled in Medicare?

Yes. Stat Medical Clinic III Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stat Medical Clinic III Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Stat Medical Clinic III Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Stat Medical Clinic III Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0880250) is associated with this NPI, valid through December 7, 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 Stat Medical Clinic III Inc was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.