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MEDSTATION PREMIUM LLC
NPI 1710879515
Clinic/Center in Pompano Beach, FL

Active since July 16, 2025CLIA 10D2332428 · Waiver
900 E ATLANTIC BLVD, POMPANO BEACH, FL 33060(954) 433-6531 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medstation Premium Llc NPPES

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

MEDSTATION PREMIUM LLC (NPI 1710879515) is a healthcare organization registered as a clinic/center in Pompano Beach, Florida and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Neymar Cabral De Lima, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710879515
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMEDSTATION PREMIUM LLC
Location Address900 E ATLANTIC BLVDPompano Beach, FL 33060-7584
Mailing Address3402 N Andrews Avenue ExtPompano Beach, FL 33064-2067
Phone(954) 433-6531
Organization SubpartNo
Authorized OfficialNeymar Cabral De LimaCeo · (954) 433-6531
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1710879515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
900 E ATLANTIC BLVD, Pompano Beach, FL 33060
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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 10D2332428

Medstation Premium LLC · Pompano Beach, FL
Active · expires Oct 19, 2027
CLIA Number10D2332428
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorJustina Palacios Reyes
Laboratory Phone(954) 433-6531
Laboratory LocationMedstation Premium LLC900 E Altantic Blvd Ste #7, Pompano Beach, FL 33060
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

TAMARA MARRA
Student in an Organized Health Care Education/Training Program
900 E ATLANTIC BLVD
POMPANO BEACH, FL 33060
Broward County (954) 941-2323
AGS BUSINESS CORP
Behavior Analyst
900 E ATLANTIC BLVD, #12
POMPANO BEACH, FL 33060
Broward County (954) 941-2323

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 Medstation Premium LLC's NPI number?

The NPI number for Medstation Premium LLC is 1710879515. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Medstation Premium LLC located?

Medstation Premium LLC is located at 900 E Atlantic Blvd, Pompano Beach, FL 33060. The listed phone number is (954) 433-6531.

What is Medstation Premium LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Medstation Premium LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2332428) is associated with this NPI, valid through October 19, 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 Medstation Premium LLC was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.