Southeast Medical Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800016264 Issued in FL

Legal business name

SOUTHEAST MEDICAL LAB INC

Practice address

6920 NW 72ND Ave
Miami, FL 33166-3036

Phone

(305) 805-3748

Fax

(305) 805-3749

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Manuel Hernandez, LABORATORY SUPERVISO

Title

President

Phone

(305) 805-3748

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenia Mercedes Tapia, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1609450824
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1417909433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 NW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331663036",
            "telephone_number": "305-805-3748",
            "fax_number": "305-805-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 NW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331663036",
            "telephone_number": "305-805-3748",
            "fax_number": "305-805-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MEDICAL LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-805-3748",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LABORATORY SUPERVISO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800016264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South-Dade Medical Care Center, Inc.
• Michelle Southby
• Southdade Health Services
• Southdade Wellness, Inc
• Southeast Diagnostic Consultants, LLC
• Southeast Medical Supplies Center Inc
• Southeast Physician Associates 1, LLC.
• Southeast Physician Associates Inc
• Southeast Urgent Care Group, Inc.
• Southeast Woundcare Experts LLC

• 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 Nov 26, 2012; 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.