TRUE HEALTH MEDICAL CORP NPI 1942605993

Clinic/Center in Hialeah Gardens, FL

NPI 1942605993 Organization Clinic/Center CLIA Number 10D2101411 CLIA Certificate of Waiver

About TRUE HEALTH MEDICAL CORP

True Health Medical Corp is a provider established in Hialeah Gardens, Florida specializing in clinic/center. The NPI number of True Health Medical Corp is 1942605993 and was assigned on November 2014. The practitioner's primary taxonomy code is 261Q00000X with license number ME100132 (FL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Maria Eloy Md (President)

The CLIA number of True Health Medical Corp is 10D2101411 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to True Health Medical Corp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1942605993

Provider NameTRUE HEALTH MEDICAL CORP
Provider Location Address8504 NW 103RD ST HIALEAH GARDENS, FL 33016
Provider Mailing Address8504 NW 103RD ST HIALEAH GARDENS, FL 33016
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-01-2014
Last Update Date10-04-2019


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
License No.ME100132
License StateFL
Taxonomy DescriptionA 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).

Business Address

TRUE HEALTH MEDICAL CORP
8504 NW 103RD ST
HIALEAH GARDENS, FL
ZIP 33016
Phone: (786) 420-5111
Fax: (786) 438-1406

Get Directions


Mailing Address

TRUE HEALTH MEDICAL CORP
8504 NW 103RD ST
HIALEAH GARDENS, FL
ZIP 33016
Phone: (786) 420-5111
Fax: (786) 803-8146



Authorized Official

Authorized Official NameDR. MARIA ELOY MD
Authorized Official TitlePRESIDENT
Authorized Official Phone(786) 420-5111

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 the NPI number 1942605993 is:

CLIA Number10D2101411
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000461300MEDICAID (05)FL

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912231853 RAUL EBRAN-GONZALEZ M.D.
Individual
Internal Medicine8504 NW 103RD ST
HIALEAH GARDENS, FL 33016
(786) 420-5111

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.