SUCCESS BY DESIGN OF PINELLAS COUNTY LLC
NPI 1619436375
Clinic/Center in Pinellas Park, FL
- Organization
- Clinic/Center
- CLIA Number: 10D2005389
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-25-2028
About SUCCESS BY DESIGN OF PINELLAS COUNTY LLC
This page provides the complete NPI Profile along with additional information for Success By Design Of Pinellas County Llc, a provider established in Pinellas Park, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1619436375 assigned on March 2019. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Sherri Morrison Rn (Ceo)
- NPI
- 1619436375 Verify this NPI
- Provider Name
- SUCCESS BY DESIGN OF PINELLAS COUNTY LLC
- Entity Type
- Organization
- Location Address
- 9095 BELCHER RD N PINELLAS PARK, FL 33782
- Location Phone
- (727) 548-0000
- Mailing Address
- 9095 BELCHER RD N PINELLAS PARK, FL 33782
- Mailing Phone
- (727) 647-8017
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2019
- Last Update Date
- 03-13-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1376538314 | OTHER (01) | OPTED OUT MEDICARE |
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
- 10D2005389
- Facility Type
- Physician Office
- Certificate Effective Date
- March 26, 2026
- Certificate Expiration Date
- March 25, 2028
- Laboratory Director
- GIOVANNI M. BAULA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Success By Design Of Pinellas County Llc 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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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619436375, enumerated as an "organization" on March 13, 2019.
The provider is located at 9095 BELCHER RD N PINELLAS PARK, FL 33782 and the phone number is (727) 548-0000.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
