Organization Active NPI

Suncoast Trim Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Venice, FL
National Provider Identifier
1629917448
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SUNCOAST TRIM CLINIC, LLC
Practice address
1101 Tamiami TRL S Ste 103Q
Venice, FL 34285-4133
Phone
(941) 900-4290
NPI assigned
Mar 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Vitaly Batishev
Title
Managing Member
Phone
(941) 900-4290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1101 Tamiami TRL S Ste 103Q
Venice, FL 34285-4133

Mailing address

1101 Tamiami TRL S Ste 103Q
Venice, FL 34285-4133
Phone (941) 900-4290

National Provider Directory

National Provider Directory

Locations

1101 Tamiami Trl S
Ste 103Q
Venice, FL 34285
Phone (941) 900-4290

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1629917448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TAMIAMI TRL S STE 103Q",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342854133",
            "telephone_number": "941-900-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TAMIAMI TRL S STE 103Q",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342854133",
            "telephone_number": "941-900-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST TRIM CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "BATISHEV",
        "authorized_official_first_name": "VITALY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "941-900-4290"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.