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IN THE IMAGE OF CHRIST INC
NPI 1447007448
Specialist in Fort Pierce, FL

Active since May 06, 2024CLIA 10D1069447 · Waiver
3090 AVENUE G, FORT PIERCE, FL 34947(772) 461-7788 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2024, May 7, 2024 (2 updates tracked since 2024).

About In The Image Of Christ Inc NPPES

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

IN THE IMAGE OF CHRIST INC (NPI 1447007448) is a healthcare organization registered as a specialist in Fort Pierce, Florida and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Jeff Hertz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447007448
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIN THE IMAGE OF CHRIST INC
Location Address3090 AVENUE GFort Pierce, FL 34947-5912
Mailing Address3090 Avenue GFort Pierce, FL 34947-5912 · (772) 461-7788
Phone(772) 461-7788
Organization SubpartNo
Authorized OfficialJeff HertzAdministrator · (917) 359-5549
Enumeration DateMay 6, 2024
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1447007448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3090 AVENUE G, Fort Pierce, FL 34947
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D1069447

In The Image Of Christ Inc · Fort Pierce, FL
Active · expires Jun 5, 2027
CLIA Number10D1069447
Laboratory TypeOther
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorHazel A. Hoylman
Laboratory Phone(772) 461-7788
Laboratory LocationIn The Image Of Christ Inc707 N 7 St, Fort Pierce, FL 34950
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 In The Image Of Christ Inc's NPI number?

The NPI number for In The Image Of Christ Inc is 1447007448. It was assigned to this organization in the NPPES registry on May 6, 2024.

Where is In The Image Of Christ Inc located?

In The Image Of Christ Inc is located at 3090 Avenue G, Fort Pierce, FL 34947. The listed phone number is (772) 461-7788.

What is In The Image Of Christ Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does In The Image Of Christ Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1069447) is associated with this NPI, valid through June 5, 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 In The Image Of Christ Inc was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.