Organization Active NPI

Vitro Molecular Laboratories

  • Clinical Medical Laboratory
  • Miami, FL
National Provider Identifier
1881780138
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D1055514 Issued in FL
Legal business name
VITRO MOLECULAR LABORATORIES
Practice address
8700 W Flagler St Ste 100
Miami, FL 33174-2535
Phone
(305) 267-7979
Fax
(786) 513-0175
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Authorized official

Name
Dr. Hadi Yaziji, M.D.
Title
Medical Director
Phone
(305) 267-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D1055514 FL Primary

Addresses

Primary practice location

8700 W Flagler St Ste 100
Miami, FL 33174-2535

Mailing address

PO Box 432160
South Miami, FL 33243-2160
Phone (305) 267-7979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070404000244 FL Part B Supplier - Independent Clinical Laboratory 7618071408 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

7480 SW 40th St
Ste 700
Miami, FL 33155
Phone (305) 267-7979

Practitioners & affiliated clinicians

Practitioners 1

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710547200000",
    "number": "1881780138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432160",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "332432160",
            "telephone_number": "305-267-7979",
            "fax_number": "786-513-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W FLAGLER ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742535",
            "telephone_number": "305-267-7979",
            "fax_number": "786-513-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITRO MOLECULAR LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "YAZIJI",
        "authorized_official_first_name": "HADI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-267-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D1055514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.