United Laboratory Service,Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800020757 Issued in FL

Legal business name

UNITED LABORATORY SERVICE,CORP

Practice address

7095 SW 47TH St BLDG B
Miami, FL 33155-4653

Phone

(305) 269-0121

Fax

(305) 269-4941

NPI assigned

Aug 5, 2006

Last updated

Jul 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Idalma M Haidar

Title

President

Phone

(305) 269-0121

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1548279227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 SW 47 STREET",
            "address_2": "STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-269-0121",
            "fax_number": "305-269-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 SW 47TH ST BLDG B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554653",
            "telephone_number": "305-269-0121",
            "fax_number": "305-269-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED LABORATORY SERVICE,CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "IDALMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-269-0121"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800020757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032188500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Dental Group
• United Family Medical Center Corp
• United Food & Meals Services, Inc.
• United Group Rehabilitation Center Inc
• United Home Health LLC
• United Living D/B/a the Residences of United Homecare
• United Med Supply Market Inc
• United Medical and Rehabilitation Center
• United Medical Center, Inc.
• United Medical Group Inc

• Clinical Medical Laboratory in Miami, FL
• Providers in Miami, 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 Jul 15, 2024; 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.