VANGUARD MEDICAL GROUP, LLC
NPI 1346761392
Clinic/Center - Multi-Specialty in Fort Lauderdale, FL

Active since June 29, 2017CLIA 10D2161726 · Waiver
3401 DAVIE BLVD, FORT LAUDERDALE, FL 33312(954) 436-6660(954) 436-6655 Get Directions Write a Review

NPPES record last updated: June 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vanguard Medical Group, Llc NPPES

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

VANGUARD MEDICAL GROUP, LLC (NPI 1346761392) is a healthcare organization registered as a multi-specialty in Fort Lauderdale, Florida and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Mian Hasan, Md, as its authorized official.

NPPES Registry Identity

NPI1346761392
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVANGUARD MEDICAL GROUP, LLC
Location Address3401 DAVIE BLVDFort Lauderdale, FL 33312-2758
Mailing Address603 N Flamingo Rd Ste 150Pembroke Pines, FL 33028-1022 · (954) 436-6660
Fax(954) 436-6655
Organization SubpartNo
Authorized OfficialMian HasanMd · (954) 436-6660
Enumeration DateJune 29, 2017
NPI 1346761392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3401 DAVIE BLVD, Fort Lauderdale, FL 33312

Other Identifiers 2

Medicaid280980000FL
Medicaid280980001FL

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 10D2161726

Vanguard Medical Group · Fort Lauderdale, FL
Active · expires Feb 2, 2027
CLIA Number10D2161726
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorMian Hasan
Laboratory Phone(954) 870-6600
Laboratory LocationVanguard Medical Group3401 Davie Blvd, Fort Lauderdale, FL 33312
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

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

Clinic/Center (Ambulatory Surgical)
3401 DAVIE BLVD
FORT LAUDERDALE, FL 33312

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 Vanguard Medical Group, LLC's NPI number?

The NPI number for Vanguard Medical Group, LLC is 1346761392. It was assigned to this organization in the NPPES registry on June 29, 2017.

Where is Vanguard Medical Group, LLC located?

Vanguard Medical Group, LLC is located at 3401 Davie Blvd, Fort Lauderdale, FL 33312. The listed phone number is (954) 436-6660.

What is Vanguard Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Vanguard Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2161726) is associated with this NPI, valid through February 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 Vanguard Medical Group, LLC was last updated on June 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.