SOUTH PADRE ISLAND PEDIATRIC CENTER
NPI 1548450190
Specialist in Corpus Christi, TX
About South Padre Island Pediatric Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH PADRE ISLAND PEDIATRIC CENTER (NPI 1548450190) is a specialist in Corpus Christi, Texas and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Mulukutla Ramakrishna, President, as its authorized official.Information from the official NPPES registry record, last updated July 30, 2007.
NPPES Registry Identity
★ Primary Specialty
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… Show more
Also on File with NPPES
092694101 (Medicaid, TX)
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645665166 (Medicaid, TX)
093832601 (Medicaid, TX)
127051403 (Medicaid, TX)
127051406 (Medicaid, TX)
645660168 (Medicaid, TX)
127051405 (Medicaid, TX)
121157503 (Medicaid, TX)
127051404 (Medicaid, TX)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0503140
- Facility Type
- Physician Office
- Certificate Effective Date
- October 14, 2024
- Certificate Expiration Date
- October 13, 2026
- Laboratory Director
- MULUKUTLA RAMAKRISHNA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to South Padre Island Pediatric Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548450190, enumerated as an "organization" on July 30, 2007.
The provider is located at 3845 S SPID DR CORPUS CHRISTI, TX 78415 and the phone number is (361) 854-4626.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
