Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CCRM FLORIDA LLC
NPI 1336882836
Clinical Medical Laboratory in Miami, FL

Active since April 14, 2022
19505 BISCAYNE BLVD, MIAMI, FL 33180(303) 885-5762 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2026, Apr 14, 2022 (2 updates tracked since 2022).

About Ccrm Florida Llc NPPES

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

CCRM FLORIDA LLC (NPI 1336882836) is a healthcare organization registered as a clinical medical laboratory in Miami, Florida and active in the NPI registry since April 2022. The organization lists Matt Tyson, Director, Managed Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1336882836
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCCRM FLORIDA LLC
Location Address19505 BISCAYNE BLVDMiami, FL 33180-2314
Mailing Address19505 Biscayne Blvd Ste 2230Miami, FL 33180-3644 · (305) 526-4530
Organization SubpartNo
Authorized OfficialMatt TysonDirector, Managed Care Contracting · (615) 477-6677
Enumeration DateApril 14, 2022
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1336882836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

19505 BISCAYNE BLVD, Miami, FL 33180

Other Names 1

Other NameCcrm Florida

Other Providers at the Same Location NPPES 6

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

Audiologist-Hearing Aid Fitter
19505 BISCAYNE BLVD
MIAMI, FL 33180
Hearing Instrument Specialist
19505 BISCAYNE BLVD
AVENTURA, FL 33180
Optometrist
19505 BISCAYNE BLVD, INSIDE SEARS OPTICAL
AVENTURA, FL 33180
Optometrist (Corneal and Contact Management)
19505 BISCAYNE BLVD, SEARS OPTICAL
AVENTURA, FL 33180
Clinic/Center (Ambulatory Surgical)
19505 BISCAYNE BLVD
MIAMI, FL 33180
Obstetrics & Gynecology (Reproductive Endocrinology)
19505 BISCAYNE BLVD
MIAMI, FL 33180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336882836, enumerated as an "organization" on April 14, 2022.

The provider is located at 19505 BISCAYNE BLVD MIAMI, FL 33180 and the phone number is (303) 885-5762.

Clinical Medical Laboratory with taxonomy code 291U00000X.