Pro Diametrics Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRO DIAMETRICS CORP

Doing business as

Prodi Lab

Practice address

9627 S Dixie Hwy
Pinecrest, FL 33156-2804

Phone

(305) 532-0005

Fax

(305) 406-9403

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

Anna A Mkhitarian

Title

Authorized Person

Phone

(786) 697-1828

Specialties & licenses 1

Addresses

Other names 1

• Prodi Lab Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1447843750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9627 S DIXIE HWY",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331562804",
            "telephone_number": "305-532-0005",
            "fax_number": "305-406-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9627 S DIXIE HWY",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331562804",
            "telephone_number": "305-532-0005",
            "fax_number": "305-406-9403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13205 SW 137th Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331865336",
            "country_code": "US",
            "telephone_number": "305-532-0005",
            "fax_number": "305-406-9403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRO DIAMETRICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "MKHITARIAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "786-697-1828"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prodi Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prodi Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Pinecrest, FL
• Providers in Pinecrest, 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 Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.