CCRM Florida LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CCRM FLORIDA LLC

Practice address

19505 Biscayne Blvd
Miami, FL 33180-2314

Phone

(303) 885-5762

NPI assigned

Apr 14, 2022

Last updated

Jul 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matt Tyson

Title

Director, Managed Care Contracting

Phone

(615) 477-6677

Specialties & licenses 1

Addresses

Other names 1

• CCRM Florida Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

CCRM Florida3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• CCRM Florida LLC

  • Ambulatory Surgical Clinic/Center
  • Miami, FL
  • NPI 1306589809
  NPD tax ID
• CCRM Florida LLC

  • Reproductive Endocrinology Physician
  • Miami, FL
  • NPI 1487396107
  NPD tax ID

Locations

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1336882836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19505 BISCAYNE BLVD STE 2230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331803644",
            "telephone_number": "305-526-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19505 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802314",
            "telephone_number": "303-885-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRM FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "615-477-6677"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCRM Florida",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cca Medical Equipment, Inc.
• Ccad of South Florida, Inc.
• CCC Home Care Support LLC
• CCR Medical Center, LLC.
• CCRM Florida LLC
• CCRM Florida LLC
• CCRM Florida Surgery LLC
• CDC Medical Group LLC
• CDH Counseling Services Inc.
• Cdixon Incorporated (Dr. Courtney E. Dixon, Chiropractor)

• Clinical Medical Laboratory in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.