Organization Active NPI

Wellness Diagnostic Center Inc

  • Clinical Medical Laboratory
  • Miami, FL
National Provider Identifier
1467996967
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
#11446 Issued in FL
Legal business name
WELLNESS DIAGNOSTIC CENTER INC
Practice address
7175 SW 8TH St Ste 212
Miami, FL 33144-4673
Phone
(305) 456-6055
Fax
(786) 360-6232
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Ms. Janet Jimenez
Title
President
Phone
(305) 456-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X #11446 FL Primary

Addresses

Primary practice location

7175 SW 8TH St Ste 212
Miami, FL 33144-4673

Mailing address

7175 SW 8TH St Ste 212
Miami, FL 33144-4673
Phone (305) 456-6055

National Provider Directory

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": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1467996967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7175 SW 8TH ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444673",
            "telephone_number": "305-456-6055",
            "fax_number": "786-360-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 SW 8TH ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444673",
            "telephone_number": "305-456-6055",
            "fax_number": "786-360-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-456-6055",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "#11446",
            "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 Dec 19, 2016; 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.