CDR Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CDR LABORATORIES INC

Practice address

10305 NW 41St St Ste 101
Doral, FL 33178-2975

Phone

(833) 330-1647

Fax

(762) 200-2460

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Dominic O Weilbaecher

Title

Manager, Payer Relations

Phone

(504) 250-2850

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Narendra M Kini, M.D.

  • General Practice Physician
  • Pinecrest, FL
  • NPI 1386671303
  NPD (past)
• Sally Marilda Sirmans, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tallahassee, FL
  • NPI 1447853601
  NPD (past)
• Mike Maurice Supplice, ARNP

  • Critical Care Medicine (Anesthesiology) Physician
  • Tallahassee, FL
  • NPI 1689000101
  NPD (past)
• Nesreen Zakariya

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1659045318
  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1730820846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 SW 80TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833848",
            "telephone_number": "833-330-1647",
            "fax_number": "762-200-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST STE 101",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782975",
            "telephone_number": "833-330-1647",
            "fax_number": "762-200-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Norton Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085965",
            "country_code": "US",
            "telephone_number": "833-330-1647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CDR LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "WEILBAECHER",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER, PAYER RELATIONS",
        "authorized_official_telephone_number": "504-250-2850"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Amber Cavallo
• Naeomi Martin Cayon
• Gabriela Cazorla
• CCB Medical Equipment, Inc
• CDL Rehabilitation Service LLC
• Hector Luis Celdran Jr.
• Celen Medical Group, Corp
• Rachael Celestin, BCBA
• Celia Roman PA
• Centro Medico Hispano Corp

• Clinical Medical Laboratory in Doral, FL
• Providers in Doral, 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 Dec 13, 2022; 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.