DADE COUNTY STREET RESPONSE
NPI 1811680127
General Practice in Miami, FL

Active since June 01, 2023CLIA 10D2335034 · Waiver
4300 NW 12TH AVE, MIAMI, FL 33127(610) 715-9989 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dade County Street Response NPPES

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

DADE COUNTY STREET RESPONSE (NPI 1811680127) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Armen Henderson, President, as its authorized official.

NPPES Registry Identity

NPI1811680127
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDADE COUNTY STREET RESPONSE
Location Address4300 NW 12TH AVEMiami, FL 33127-2540
Mailing Address4300 Nw 12th AveMiami, FL 33127-2540 · (610) 715-9989
Organization SubpartNo
Authorized OfficialArmen HendersonPresident · (610) 715-9989
Enumeration DateJune 1, 2023
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
NPI 1811680127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4300 NW 12TH AVE, Miami, FL 33127

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2335034

Dade Country Street Response · Miami, FL
Active · expires Dec 4, 2027
CLIA Number10D2335034
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorArmen Henderson
Laboratory Phone(561) 877-1195
Laboratory LocationDade Country Street Response4300 NW 12th Ave, Miami, FL 33127
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

General Practice
4300 NW 12TH AVE
MIAMI, FL 33127

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 Dade County Street Response's NPI number?

The NPI number for Dade County Street Response is 1811680127. It was assigned to this organization in the NPPES registry on June 1, 2023.

Where is Dade County Street Response located?

Dade County Street Response is located at 4300 NW 12th Ave, Miami, FL 33127. The listed phone number is (610) 715-9989.

What is Dade County Street Response's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Dade County Street Response hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2335034) is associated with this NPI, valid through December 4, 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 Dade County Street Response was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.