ST. THOMAS SPORTS MEDICINE
NPI 1689177099
Family Medicine in Miami Gardens, FL
About St. Thomas Sports Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. THOMAS SPORTS MEDICINE (NPI 1689177099) is a healthcare organization registered as a family medicine in Miami Gardens, Florida and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Mouzon Bass, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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 10D2299775
St Thomas University Health & Wellness Center · Miami Gardens, FLOther Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIAMI GARDENS, FL 33054
MIAMI GARDENS, FL 33054
MIAMI GARDENS, FL 33054
MIAMI GARDENS, FL 33054
MIAMI GARDENS, FL 33054
OPA LOCKA, FL 33054
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 St. Thomas University, Inc's NPI number?
The NPI number for St. Thomas University, Inc is 1689177099. It was assigned to this organization in the NPPES registry on March 12, 2018. The provider is doing business as St. Thomas Sports Medicine.
Where is St. Thomas University, Inc located?
St. Thomas University, Inc is located at 16401 NW 37th Ave, Miami Gardens, FL 33054. The listed phone number is (972) 367-4845.
What is St. Thomas University, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does St. Thomas University, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2299775) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for St. Thomas University, Inc was last updated on March 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# St. Thomas Sports Medicine · NPI 1689177099
Family Medicine organization in Miami Gardens, Florida. Organization record, active in the CMS NPPES registry since March 12, 2018.
## Identity
- **NPI:** 1689177099 (Entity type: Organization)
- **Enumerated:** March 12, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** St. Thomas University, Inc
- **Organization subpart:** No
- **Authorized official:** Mouzon Bass, ADMINISTRATOR
## Practice location
- **Address:** 16401 NW 37TH AVE, Miami Gardens, FL 33054-6313
- **Phone:** (972) 367-4845
## Record status
- **NPPES last updated:** March 12, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689177099) · Data from the CMS NPPES public registry.