SUPERMALE
NPI 1801261086
Clinic/Center in Ocala, FL
- Organization
- Clinic/Center
- CLIA Number: 10D2108648
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-23-2026
About SUPERMALE
This page provides the complete NPI Profile along with additional information for Supermale, a provider established in Ocala, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1801261086 assigned on December 2015. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Rhonda Duran (Billing Manager)
- NPI
- 1801261086 Verify this NPI
- Provider Name
- SUPERMALE
- Entity Type
- Organization
- Location Address
- 5345 SW COLLEGE RD OCALA, FL 34474
- Location Phone
- (844) 625-3872
- Location Fax
- (352) 229-8853
- Mailing Address
- 5345 SW COLLEGE RD OCALA, FL 34474
- Mailing Phone
- (844) 625-3872
- Mailing Fax
- (352) 229-8853
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2015
- Last Update Date
- 12-17-2015
- 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).
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
- 10D2108648
- Facility Type
- Physician Office
- Certificate Effective Date
- March 24, 2024
- Certificate Expiration Date
- March 23, 2026
- Laboratory Director
- SIDNEY E. CLEVINGER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Supermale after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1801261086, enumerated as an "organization" on December 14, 2015.
The provider is located at 5345 SW COLLEGE RD OCALA, FL 34474 and the phone number is (844) 625-3872.
Clinic/Center with taxonomy code 261Q00000X.
