Active NPI
Medicall Diagnostic Services
- Clinical Medical Laboratory
- Miami, FL
National Provider Identifier
1548217672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MEDICALL DIAGNOSTIC SERVICES
- Practice address
- 351 NW 42ND Ave
#101
Miami, FL 33126-5683 - Phone
- (305) 643-0041
- NPI assigned
- May 26, 2006
- 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
- Mario Del Valle
- Title
- Owner
- Phone
- (305) 643-0041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
351 NW 42ND Ave
#101
Miami, FL 33126-5683
Mailing address
351 NW 42ND Ave
#101
Miami, FL 33126-5683
Phone (305) 643-0041
National Provider Directory
National Provider DirectoryLocations
351 NW 42nd Ave
Ste 101
Miami, FL 33126
Phone (305) 649-8870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548217672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 NW 42ND AVE",
"address_2": "#101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331265683",
"telephone_number": "305-643-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 NW 42ND AVE",
"address_2": "#101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331265683",
"telephone_number": "305-643-0041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICALL DIAGNOSTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEL VALLE",
"authorized_official_first_name": "MARIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-643-0041"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Medicine Man Medical Center of South Florida, Inc.
- Medicine Man Pain Management Center
- Mediclaim of Florida Inc
- Mediclear Medical & Research Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.