Organization Active NPI

Any Lab Test Fast

  • Clinical Medical Laboratory
  • North Miami, FL
National Provider Identifier
1639466063
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
13-64-1351067 Issued in FL
Legal business name
ANY LAB TEST FAST
Practice address
14055 West Dixie
North Miami, FL 33161-3442
Phone
(305) 456-3317
Fax
(305) 456-9219
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Mrs. Estela PinnavariaNPI 1881773521
Title
Laboratory Directos/Owner
Phone
(305) 456-3317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 13-64-1351067 FL Primary

Addresses

Primary practice location

14055 West Dixie
North Miami, FL 33161-3442

Mailing address

14055 West Dixie
North Miami, FL 33161-3442
Phone (305) 456-3317

Other identifiers 1

IdentifierTypeStateIssuer
10D2024732MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2024732Any Lab Test Fast Corp14055 W Dixie Hwy, North Miami, FL 33161Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Locations

14055 W Dixie Hwy
North Miami, FL 33161
Phone (786) 452-0195

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1639466063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14055 WEST DIXIE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331613442",
            "telephone_number": "305-456-3317",
            "fax_number": "305-456-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 WEST DIXIE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331613442",
            "telephone_number": "305-456-3317",
            "fax_number": "305-456-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANY LAB TEST FAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "PINNAVARIA",
        "authorized_official_first_name": "ESTELA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOS/OWNER",
        "authorized_official_telephone_number": "305-456-3317",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "13-64-1351067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10D2024732",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.