Active NPI
South Medical Laboratory Corp.
- Clinical Medical Laboratory
- Miami, FL
National Provider Identifier
1144364399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SOUTH MEDICAL LABORATORY CORP.
- Practice address
- 1330 Coral Way
Suite # 101
Miami, FL 33145-2929 - Phone
- (305) 854-0431
- NPI assigned
- Feb 19, 2007
- 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
- Alfredo Manuel Montadas
- Title
- President
- Phone
- (305) 854-0431
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | FL | Primary |
Addresses
Primary practice location
1330 Coral Way
Suite # 101
Miami, FL 33145-2929
Mailing address
1330 Coral Way
Suite # 101
Miami, FL 33145-2929
Phone (305) 854-0431
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 |
|---|---|---|---|
| 10D2190114 | South Florida ENT Associates, Inc | Certificate of waiver | Aug 9, 2026 |
National Provider Directory
National Provider DirectoryLocations
1330 Coral Way
Ste 101
Miami, FL 33145
Phone (305) 854-0431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144364399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 CORAL WAY",
"address_2": "SUITE # 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331452929",
"telephone_number": "305-854-0431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 CORAL WAY",
"address_2": "SUITE # 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331452929",
"telephone_number": "305-854-0431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH MEDICAL LABORATORY CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MONTADAS",
"authorized_official_first_name": "ALFREDO",
"authorized_official_middle_name": "MANUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-854-0431"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.