Active NPI
Bio-Tech Clinical Laboratories, Inc
- Clinical Medical Laboratory
- Doral, FL
National Provider Identifier
1073534145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 800014740
- Legal business name
- BIO-TECH CLINICAL LABORATORIES, INC
- Practice address
- 9000 NW 15TH St Unit 1
Doral, FL 33172-2909 - Phone
- (305) 267-1220
- Fax
- (786) 388-8034
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlos Jesus Rodriguez
- Title
- Administration
- Phone
- (305) 367-1220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 800014740 | FL | Primary |
Addresses
Primary practice location
9000 NW 15TH St Unit 1
Doral, FL 33172-2909
Mailing address
9000 NW 15TH St Unit 1
Doral, FL 33172-2909
Phone (305) 267-1220
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10D0965332 | Other | FL | CLIA ID NUMBER |
| 800014740 | Other | FL | STATE OF FLORIDA |
| L9210 | Other | FL | BCBS |
| 103547500 | Medicaid | FL | |
| 291U00000X | Other | FL | TAXONOMY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070305000520 | FL | Part B Supplier - Independent Clinical Laboratory | 8123121522 | Practice locations: Doral, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0965332 | Bio-Tech Clinical Laboratories Inc | Compliance | Dec 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
9000 NW 13th Ter
Unit 1
Doral, FL 33172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582588800000",
"number": "1073534145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 NW 15TH ST UNIT 1",
"city": "DORAL",
"state": "FL",
"postal_code": "331722909",
"telephone_number": "305-267-1220",
"fax_number": "786-388-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 NW 15TH ST UNIT 1",
"city": "DORAL",
"state": "FL",
"postal_code": "331722909",
"telephone_number": "305-267-1220",
"fax_number": "786-388-8034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIO-TECH CLINICAL LABORATORIES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "JESUS",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "305-367-1220",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "800014740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA ID NUMBER",
"identifier": "10D0965332",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA",
"identifier": "800014740",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "L9210",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103547500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "291U00000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.