Organization Active NPI

Florida Clinical DX Inc

  • Clinical Medical Laboratory
  • Sunrise, FL
National Provider Identifier
1114813797
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FLORIDA CLINICAL DX INC
Practice address
10001 W Oakland Park Blvd Ste 301
Sunrise, FL 33351-6925
Phone
(863) 237-4693
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Nasir Khan
Title
Owner
Phone
(941) 253-4001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

10001 W Oakland Park Blvd Ste 301
Sunrise, FL 33351-6925

Mailing address

10001 W Oakland Park Blvd Ste 301
Sunrise, FL 33351-6925
Phone (863) 237-4693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251218002265 FL Part B Supplier - Independent Clinical Laboratory 0648765586 Practice locations: Sunrise, FL

National Provider Directory

National Provider Directory

Locations

5304 S Florida Ave
Ste 400E
Lakeland, FL 33813

10001 W Oakland Park Blvd
Ste 301D
Sunrise, FL 33351
Phone (863) 237-4693

10001 W Oakland Park Blvd
Ste 301
Sunrise, FL 33351
Phone (863) 237-4693

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1114813797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W OAKLAND PARK BLVD STE 301",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516925",
            "telephone_number": "863-237-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 W OAKLAND PARK BLVD STE 301",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516925",
            "telephone_number": "863-237-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CLINICAL DX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-253-4001"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.