Active NPI
Florida Clinical DX Inc
- Clinical Medical Laboratory
- Sunrise, FL
National Provider Identifier
1114813797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251218002265 | FL | Part B Supplier - Independent Clinical Laboratory | 0648765586 | Practice locations: Sunrise, FL |
National Provider Directory
National Provider DirectoryLocations
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
- Bethany Flores, LCSW
- Janette Mary Flores, PT
- Lizabeth M. Floresta, CRNA
- Florida Center for Oral Surgery & Dental Implants
- Florida Center for Surgical Weight Control, P.a.
- Florida Coast Recovery
- Florida Coast Recovery, LLC
- Florida Em-I Medical Services PA
- Florida Institute of Health LTD LLLP
- Florida Institute of Health LTD LLLP
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.