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PRIDELINES
NPI 1992546386
Clinic/Center in Miami, FL

Active since June 01, 2024CLIA 10D2101321 · Waiver
5525 NW 7TH AVE, MIAMI, FL 33127(305) 571-9601 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pridelines NPPES

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

PRIDELINES (NPI 1992546386) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2027, maintains a secondary practice location in Miami Beach, and lists Edward Summers, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1992546386
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRIDELINES YOUTH SERVICES, INC.
Location Address5525 NW 7TH AVEMiami, FL 33127-1401
Mailing AddressPo Box 14340Miami, FL 33101-4340 · (305) 571-9601
Phone(305) 571-9601
Organization SubpartNo
Authorized OfficialEdward SummersExecutive Director · (347) 468-6621
Enumeration DateJune 1, 2024
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1992546386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A 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).
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
5525 NW 7TH AVE, Miami, FL 33127
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Other Names 1

Doing Business AsPridelines

Secondary Practice Location 1

Location 11130 Washington Ave Fl 1Miami Beach, FL 33139-4600 · Phone (305) 571-9601

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 10D2101321

Pridelines Youth Services · Miami Beach, FL
Active · expires Aug 31, 2027
CLIA Number10D2101321
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorCarlos Padro
Laboratory Phone(305) 571-9601
Laboratory LocationPridelines Youth Services1130 Washington Avenue 1st Floor, Miami Beach, FL 33139
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 Pridelines Youth Services, Inc.'s NPI number?

The NPI number for Pridelines Youth Services, Inc. is 1992546386. It was assigned to this organization in the NPPES registry on June 1, 2024. The provider is doing business as Pridelines.

Where is Pridelines Youth Services, Inc. located?

Pridelines Youth Services, Inc. is located at 5525 NW 7th Ave, Miami, FL 33127. The listed phone number is (305) 571-9601.

What is Pridelines Youth Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Pridelines Youth Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2101321) is associated with this NPI, valid through August 31, 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 Pridelines Youth Services, Inc. was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.