Organization Active NPI

Soteria Medical, LLC

  • Physiological Laboratory
  • Miami, FL
National Provider Identifier
1427445345
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
10D2086850 Issued in FL
Legal business name
SOTERIA MEDICAL, LLC
Practice address
9150 SW 87TH Ave
Suite 213
Miami, FL 33176-2319
Phone
(305) 595-4447
Fax
(305) 248-6320
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Dr. Jeffrey Kent Raines, MD, PHDNPI 1962898833
Title
President and Ceo
Phone
(305) 595-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 10D2086850 FL Primary

Addresses

Primary practice location

9150 SW 87TH Ave
Suite 213
Miami, FL 33176-2319

Mailing address

9150 SW 87TH Ave
Suite 213
Miami, FL 33176-2319
Phone (305) 595-4447

Other identifiers 1

IdentifierTypeStateIssuer
10D2086850OtherFLCLIA

National Provider Directory

National Provider Directory
Tax ID family
Soteria Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1427445345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 SW 87TH AVE",
            "address_2": "SUITE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762319",
            "telephone_number": "305-595-4447",
            "fax_number": "305-248-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 SW 87TH AVE",
            "address_2": "SUITE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762319",
            "telephone_number": "305-595-4447",
            "fax_number": "305-248-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTERIA MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "305-595-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "FL",
            "license": "10D2086850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2086850",
            "state": "FL"
        }
    ],
    "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 Apr 17, 2015; 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.