PAMUDZI 360 HEALTH
NPI 1881411023
Nurse Practitioner - Family in Palos Hills, IL

Active since September 20, 2024CLIA 14D2320557 · Waiver
10419 S ROBERTS RD, PALOS HILLS, IL 60465(708) 581-5151 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pamudzi 360 Health NPPES

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

PAMUDZI 360 HEALTH (NPI 1881411023) is a healthcare organization registered as a family in Palos Hills, Illinois and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Molly K Netter, Owner, as its authorized official.

NPPES Registry Identity

NPI1881411023
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePAMUDZI 360 HEALTH
Location Address10419 S ROBERTS RDPalos Hills, IL 60465-1931
Mailing Address10419 S Roberts RdPalos Hills, IL 60465-1931
Organization SubpartNo
Authorized OfficialMolly K NetterOwner · (708) 769-4062
Enumeration DateSeptember 20, 2024
NPPES CertifiedSeptember 19, 2024
NPI 1881411023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
10419 S ROBERTS RD, Palos Hills, IL 60465

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 14D2320557

Pamudzi 360 Health · Palos Hills, IL
Active · expires Mar 19, 2027
CLIA Number14D2320557
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorMolly K. Netter
Laboratory Phone(708) 581-5151
Laboratory LocationPamudzi 360 Health10419 S Roberts Rd, Palos Hills, IL 60465
CLIA data matches this NPI record on: Address 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 Pamudzi 360 Health's NPI number?

The NPI number for Pamudzi 360 Health is 1881411023. It was assigned to this organization in the NPPES registry on September 20, 2024.

Where is Pamudzi 360 Health located?

Pamudzi 360 Health is located at 10419 S Roberts Rd, Palos Hills, IL 60465. The listed phone number is (708) 581-5151.

What is Pamudzi 360 Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Pamudzi 360 Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2320557) is associated with this NPI, valid through March 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 Pamudzi 360 Health was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.