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CLINICA SAGRADO CORAZON
NPI 1770860116
Clinic/Center in Mission, TX

Active since November 14, 2011CLIA 45D2036703 · Waiver
3401 W MILE 5 RD STE 1, MISSION, TX 78574(956) 778-2032(956) 580-2677 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clinica Sagrado Corazon NPPES

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

CLINICA SAGRADO CORAZON (NPI 1770860116) is a healthcare organization registered as a clinic/center in Mission, Texas and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through December 25, 2027 and lists Pablo Olmedo, Owner, as its authorized official.

NPPES Registry Identity

NPI1770860116
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCLINICA SAGRADO CORAZON
Location Address3401 W MILE 5 RD STE 1Mission, TX 78574-5177
Mailing Address3401 W Mile 5 Rd Ste 1Mission, TX 78574-5177 · (956) 778-2032 · Fax (956) 580-2677
Phone(956) 778-2032
Fax(956) 580-2677
Organization SubpartNo
Authorized OfficialPablo OlmedoOwner · (956) 580-2145
Enumeration DateNovember 14, 2011
Last NPPES UpdateFebruary 12, 2014
✔ NPI 1770860116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · M8225
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).
3401 W MILE 5 RD STE 1, Mission, TX 78574
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 45D2036703

Clinica Sagrado Corazon · Mission, TX
Active · expires Dec 25, 2027
CLIA Number45D2036703
Laboratory TypePhysician Office
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateDecember 25, 2027
Laboratory DirectorDr. Pablo Olmedo
Laboratory Phone(956) 580-2145
Laboratory LocationClinica Sagrado Corazon4213 W Mile 5 Rd Ste A, Mission, TX 78574
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Clinica Sagrado Corazon's NPI number?

The NPI number for Clinica Sagrado Corazon is 1770860116. It was assigned to this organization in the NPPES registry on November 14, 2011.

Where is Clinica Sagrado Corazon located?

Clinica Sagrado Corazon is located at 3401 W Mile 5 Rd Ste 1, Mission, TX 78574. The listed phone number is (956) 778-2032.

What is Clinica Sagrado Corazon's specialty?

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

Does Clinica Sagrado Corazon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2036703) is associated with this NPI, valid through December 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clinica Sagrado Corazon accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Clinica Sagrado Corazon 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 Clinica Sagrado Corazon was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.