EVERNORTH DIRECT HEALTH LLC
NPI 1609533017
Clinic/Center in Delray Beach, FL
About Evernorth Direct Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERNORTH DIRECT HEALTH LLC (NPI 1609533017) is a healthcare organization registered as a clinic/center in Delray Beach, Florida and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 8, 2027 and lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 10D2245119
Evernorth Direct Health, LLC · Delray Beach, FLFrequently 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 Evernorth Direct Health LLC's NPI number?
The NPI number for Evernorth Direct Health LLC is 1609533017. It was assigned to this organization in the NPPES registry on November 19, 2021. The provider is also known as PBSO Delray.
Where is Evernorth Direct Health LLC located?
Evernorth Direct Health LLC is located at 15200 S Jog Rd # D3-5, Delray Beach, FL 33446. The listed phone number is (602) 277-1190.
What is Evernorth Direct Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Does Evernorth Direct Health LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2245119) is associated with this NPI, valid through December 8, 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 Evernorth Direct Health LLC was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Evernorth Direct Health Llc · NPI 1609533017
Clinic/Center organization in Delray Beach, Florida. Organization record, active in the CMS NPPES registry since November 19, 2021.
## Identity
- **NPI:** 1609533017 (Entity type: Organization)
- **Enumerated:** November 19, 2021
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** PBSO Delray (Other Name)
- **Organization subpart:** No
- **Authorized official:** Deborah Coolidge, FINANCIAL ANALYSIS SENIOR MANAGER
## Practice location
- **Address:** 15200 S JOG RD # D3-5, Delray Beach, FL 33446-1247
- **Phone:** (602) 277-1190
## Record status
- **NPPES last updated:** November 19, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609533017) · Data from the CMS NPPES public registry.