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POLYCLINIC MEDICAL CENTER, INC.
NPI 1821059650
Internal Medicine - Critical Care Medicine in Matthews, NC

Active since March 31, 2006CLIA 34D2181881 · Waiver
9705 NORTHEAST PKWY STE 400, MATTHEWS, NC 28105(704) 844-8971(704) 844-8972 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Polyclinic Medical Center, Inc. NPPES

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

POLYCLINIC MEDICAL CENTER, INC. (NPI 1821059650) is a healthcare organization registered as a critical care medicine in Matthews, North Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Josi Braz Garuba, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821059650
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NamePOLYCLINIC MEDICAL CENTER, INC.
Location Address9705 NORTHEAST PKWY STE 400Matthews, NC 28105-9704
Mailing Address9705 Northeast Pkwy Ste 400Matthews, NC 28105-9704 · (704) 844-8971 · Fax (704) 844-8972
Phone(704) 844-8971
Fax(704) 844-8972
Organization SubpartNo
Authorized OfficialJosi Braz GarubaCeo · (704) 844-8971
Enumeration DateMarch 31, 2006
Last NPPES UpdateJune 8, 2020
NPPES CertifiedJune 8, 2020
✔ NPI 1821059650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in NC · 2000-01378
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 25646 (NC)
9705 NORTHEAST PKWY STE 400, Matthews, NC 28105
Open in Google Maps ↗

Other Identifiers 1

Medicaid5903156NC

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 34D2181881

Polyclinic Medical Center, Inc · Matthews, NC
Active · expires Apr 12, 2028
CLIA Number34D2181881
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorAbdul K. Garuba
Laboratory Phone(704) 844-8971
Laboratory LocationPolyclinic Medical Center, Inc9705 Northeast Parkway Suite 400, Matthews, NC 28105
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 4

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

LILLIAN SLIWOSKI NP
Nurse Practitioner (Family)
9705 NORTHEAST PKWY STE 400
MATTHEWS, NC 28105
Mecklenburg County (704) 884-8971
DR. ABDUL KARIM GARUBA MD
Internal Medicine
9705 NORTHEAST PKWY STE 400
MATTHEWS, NC 28105
Mecklenburg County (704) 844-8971
ALEXA RIVERA FNP-C
Nurse Practitioner (Family)
9705 NORTHEAST PKWY STE 400
MATTHEWS, NC 28105
Mecklenburg County (704) 844-8971
SANAM KHAND THAKURI FNP
Nurse Practitioner (Family)
9705 NORTHEAST PKWY STE 400
MATTHEWS, NC 28105
Mecklenburg County (704) 844-8971

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 Polyclinic Medical Center, Inc.'s NPI number?

The NPI number for Polyclinic Medical Center, Inc. is 1821059650. It was assigned to this organization in the NPPES registry on March 31, 2006.

Where is Polyclinic Medical Center, Inc. located?

Polyclinic Medical Center, Inc. is located at 9705 Northeast Pkwy Ste 400, Matthews, NC 28105. The listed phone number is (704) 844-8971.

What is Polyclinic Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Does Polyclinic Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2181881) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Polyclinic Medical Center, Inc. was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.