Organization Active NPI

Reliance Diagnostics LLC

  • Clinical Medical Laboratory
  • Miami, FL
National Provider Identifier
1528653334
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RELIANCE DIAGNOSTICS LLC
Practice address
12930 SW 128TH St Ste 102
Miami, FL 33186-6038
Phone
(786) 701-8628
Fax
(305) 489-7983
NPI assigned
Mar 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Karen Avery
Title
Director of Billing
Phone
(702) 830-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

12930 SW 128TH St Ste 102
Miami, FL 33186-6038

Mailing address

12930 SW 128TH St Ste 102
Miami, FL 33186-6038
Phone (786) 701-8628

National Provider Directory

National Provider Directory

Locations

829 E Oak St
Ste C
Kissimmee, FL 34744
Phone (209) 205-8808

12930 SW 128th St
Ste 102
Miami, FL 33186
Phone (786) 701-8628

9627 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 532-0005

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1528653334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 SW 128TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866038",
            "telephone_number": "786-701-8628",
            "fax_number": "305-489-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 SW 128TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866038",
            "telephone_number": "786-701-8628",
            "fax_number": "305-489-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "702-830-3009"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "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 Sep 30, 2024; 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.