Active NPI
Reliance Diagnostics LLC
- Clinical Medical Laboratory
- Miami, FL
National Provider Identifier
1528653334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.