Organization Active NPI

Bio-Tech Clinical Laboratories, Inc

  • Clinical Medical Laboratory
  • Doral, FL
National Provider Identifier
1073534145
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800014740 Issued in FL
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

Updated by the provider on Feb 25, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10D0965332OtherFLCLIA ID NUMBER
800014740OtherFLSTATE OF FLORIDA
L9210OtherFLBCBS
103547500MedicaidFL
291U00000XOtherFLTAXONOMY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070305000520 FL Part B Supplier - Independent Clinical Laboratory 8123121522 Practice locations: Doral, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0965332Bio-Tech Clinical Laboratories Inc9000 NW 15TH St Unit 1, Doral, FL 33172ComplianceDec 1, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.