ULTRA MEDICAL LLC
NPI 1972133163
Clinic/Center - Primary Care in Pembroke Pines, FL

Active since January 16, 2020CLIA 10D2176749 · Waiver
10350 PINES BLVD STE D103, PEMBROKE PINES, FL 33026(754) 210-2460 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ultra Medical Llc NPPES

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

ULTRA MEDICAL LLC (NPI 1972133163) is a healthcare organization registered as a primary care in Pembroke Pines, Florida and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Alfredo Infante, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1972133163
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameULTRA MEDICAL LLC
Location Address10350 PINES BLVD STE D103Pembroke Pines, FL 33026-6051
Mailing Address10350 Pines Blvd Ste D103Pembroke Pines, FL 33026-6051 · (754) 210-2460
Organization SubpartNo
Authorized OfficialAlfredo InfanteVp Operations · (754) 210-2460
Enumeration DateJanuary 16, 2020
NPI 1972133163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
10350 PINES BLVD STE D103, Pembroke Pines, FL 33026

Other Names 1

Former Legal Business NameUltra Medical Llc

Accepted Insurance

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 10D2176749

Ultra Medical LLC · Pembroke Pines, FL
Active · expires Dec 22, 2027
CLIA Number10D2176749
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorAlfredo E. Infante
Laboratory Phone(786) 286-1864
Laboratory LocationUltra Medical LLC10350 Pines Blvd #d102, Pembroke Pines, FL 33026
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nursing Care
10350 PINES BLVD STE D103
PEMBROKE PINES, FL 33026
Physician Assistant (Medical)
10350 PINES BLVD STE D103
PEMBROKE PINES, FL 33026

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 Ultra Medical LLC's NPI number?

The NPI number for Ultra Medical LLC is 1972133163. It was assigned to this organization in the NPPES registry on January 16, 2020.

Where is Ultra Medical LLC located?

Ultra Medical LLC is located at 10350 Pines Blvd Ste D103, Pembroke Pines, FL 33026. The listed phone number is (754) 210-2460.

What is Ultra Medical LLC's specialty?

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

Does Ultra Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2176749) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ultra Medical LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ultra Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ultra Medical LLC was last updated on January 16, 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.