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PEDIATRIC MEDICAL CENTER PLLC
NPI 1952012429
Clinic/Center - Primary Care in Orlando, FL

Active since December 06, 2022CLIA 10D2106774 · Waiver
836 PAUL ST, ORLANDO, FL 32808(407) 295-2039 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Medical Center Pllc NPPES

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

PEDIATRIC MEDICAL CENTER PLLC (NPI 1952012429) is a healthcare organization registered as a primary care in Orlando, Florida and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Ijaz Ahmed, General Manager, as its authorized official.

NPPES Registry Identity

NPI1952012429
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDIATRIC MEDICAL CENTER PLLC
Location Address836 PAUL STOrlando, FL 32808-7545
Mailing Address836 Paul StOrlando, FL 32808-7545 · (407) 295-2039
Phone(407) 295-2039
Organization SubpartNo
Authorized OfficialIjaz AhmedGeneral Manager · (407) 342-1896
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1952012429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
836 PAUL ST, Orlando, FL 32808
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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 10D2106774

Pediatric Medical Center · Orlando, FL
Active · expires Dec 28, 2027
CLIA Number10D2106774
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorGhazala Ahmed
Laboratory Phone(407) 295-2039
Laboratory LocationPediatric Medical Center724 Charles St, Orlando, FL 32808
CLIA data matches this NPI record on: 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 Pediatric Medical Center PLLC's NPI number?

The NPI number for Pediatric Medical Center PLLC is 1952012429. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Pediatric Medical Center PLLC located?

Pediatric Medical Center PLLC is located at 836 Paul St, Orlando, FL 32808. The listed phone number is (407) 295-2039.

What is Pediatric Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pediatric Medical Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2106774) is associated with this NPI, valid through December 28, 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 Pediatric Medical Center PLLC was last updated on December 6, 2022. 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.