Organization Active NPI

Complete Bio Solutions Inc

  • Clinical Medical Laboratory
  • Miami, FL
National Provider Identifier
1023179736
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800016693 Issued in FL
Legal business name
COMPLETE BIO SOLUTIONS INC
Practice address
6500 NW 77TH CT
Miami, FL 33166-2710
Phone
(305) 882-1051
Fax
(305) 882-1052
NPI assigned
Dec 13, 2006
Last updated
May 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heriberto Ernesto Martinez
Title
President
Phone
(305) 882-1051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800016693 FL Primary

Addresses

Primary practice location

6500 NW 77TH CT
Miami, FL 33166-2710

Mailing address

6500 NW 77TH CT
Miami, FL 33166-2710
Phone (305) 882-1051

Other identifiers 3

IdentifierTypeStateIssuer
030716500MedicaidFL
800016693OtherFLCLIA
L9248OtherFLBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

8651 NW 56th St
Doral, FL 33166
Phone (305) 477-6520

2546 W 6th Ave
Hialeah, FL 33010
Phone (305) 882-1051

6500 NW 77th Ct
Miami, FL 33166
Phone (305) 882-1051

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1023179736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 NW 77TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662710",
            "telephone_number": "305-882-1051",
            "fax_number": "305-882-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 NW 77TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662710",
            "telephone_number": "305-882-1051",
            "fax_number": "305-882-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE BIO SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "HERIBERTO",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-882-1051"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800016693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030716500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "800016693",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "L9248",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.