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RDM PROFESSIONAL SERVICES, INC.
NPI 1699322867
Internal Medicine - Adolescent Medicine in Lake City, FL

Active since August 22, 2019CLIA 10D2325099 · Waiver
777 W DUVAL ST, LAKE CITY, FL 32055(386) 755-3300(386) 935-4331 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rdm Professional Services, Inc. NPPES

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

RDM PROFESSIONAL SERVICES, INC. (NPI 1699322867) is a healthcare organization registered as an adolescent medicine in Lake City, Florida and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Rolando Dominguez Mustafa, Owner, as its authorized official.

NPPES Registry Identity

NPI1699322867
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameRDM PROFESSIONAL SERVICES, INC.
Location Address777 W DUVAL STLake City, FL 32055-5806
Mailing Address437 Sw Rosemary DrLake City, FL 32024-6715 · (973) 610-6389 · Fax (386) 935-4331
Phone(386) 755-3300
Fax(386) 935-4331
Organization SubpartNo
Authorized OfficialRolando Dominguez MustafaOwner · (973) 610-6389
Enumeration DateAugust 22, 2019
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1699322867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
777 W DUVAL ST, Lake City, FL 32055
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Other Identifiers 1

Medicaid015321200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D2325099

Rdm Professional Services, Inc · Lake City, FL
Active · expires Jun 5, 2027
CLIA Number10D2325099
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorRolando Dominguez
Laboratory Phone(386) 755-3300
Laboratory LocationRdm Professional Services, Inc777 W Duval St, Lake City, FL 32025
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER LANGSTON FINNELL APRN-BC
Nurse Practitioner (Family)
777 W DUVAL ST
LAKE CITY, FL 32055
Columbia County (386) 755-3300
HC HEALTHCARE INC
Clinic/Center (Rural Health)
777 W DUVAL ST
LAKE CITY, FL 32055
Columbia County (386) 758-6950
ENRIQUE TECHNOLOGIES INC
Clinic/Center (Rural Health)
777 W DUVAL ST
LAKE CITY, FL 32055
Columbia County (386) 758-6950
DR. CYNTHIA BAUTISTA MAGRINI MD
Internal Medicine
777 W DUVAL ST
LAKE CITY, FL 32055
Columbia County (386) 755-3300
DR. ROLANDO DOMINGUEZ MUSTAFA M.D.
Family Medicine (Adult Medicine)
777 W DUVAL ST
LAKE CITY, FL 32055
Columbia County (386) 755-3500
IRA LEE NP
Nurse Practitioner
777 W DUVAL ST
LAKE CITY, FL 32055
Columbia County (386) 755-3300

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 Rdm Professional Services, Inc.'s NPI number?

The NPI number for Rdm Professional Services, Inc. is 1699322867. It was assigned to this organization in the NPPES registry on August 22, 2019.

Where is Rdm Professional Services, Inc. located?

Rdm Professional Services, Inc. is located at 777 W Duval St, Lake City, FL 32055. The listed phone number is (386) 755-3300.

What is Rdm Professional Services, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Does Rdm Professional Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2325099) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rdm Professional Services, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Rdm Professional Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rdm Professional Services, Inc. was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.