Advanced Dialysis Institute, Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

ADVANCED DIALYSIS INSTITUTE, INC

Practice address

7150 W 20TH Ave
Suite 109
Hialeah, FL 33016-5529

Phone

(305) 827-8399

Fax

(305) 827-1204

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Miryam S Mathews, R.N.

Title

Administrator / Don

Phone

(305) 827-8399

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1114953882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE",
            "address_2": "SUITE 109",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165529",
            "telephone_number": "305-827-8399",
            "fax_number": "305-827-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE",
            "address_2": "SUITE 109",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165529",
            "telephone_number": "305-827-8399",
            "fax_number": "305-827-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIALYSIS INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "MIRYAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR / DON",
        "authorized_official_telephone_number": "305-827-8399",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211029600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Advanced Imaging Services Inc
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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.