Organization Active NPI

South Medical Laboratory Corp.

  • Clinical Medical Laboratory
  • Miami, FL
National Provider Identifier
1144364399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 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
10D2190114South Florida ENT Associates, Inc1330 Coral Way #403, Miami, FL 33145Certificate of waiverAug 9, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.