Organization Active NPI

University of Miami

Doing business as UMiami Medicine - Immuno Monitoring Lab

  • Clinical Medical Laboratory
  • Miami, FL
National Provider Identifier
1932150752
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNIVERSITY OF MIAMI
Doing business as
UMiami Medicine - Immuno Monitoring Lab
Practice address
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone
(305) 243-7688
Fax
(305) 243-8470
NPI assigned
May 15, 2006
Last updated
Dec 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Cesia A Sanchez
Title
Manager, Provider Enrollment
Phone
(305) 243-6837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone (305) 243-7688

Other identifiers 1

IdentifierTypeStateIssuer
0302945-00MedicaidFL

Other names 1

  • UMiami Medicine - Immuno Monitoring Lab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120510000082 FL Part B Supplier - Independent Clinical Laboratory 3274795109 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miami, FL
O20200406001006 FL Part B Supplier - Clinic/Group Practice 3274795109 Receives reassigned benefits from 3,555 practitioners
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Alan S Livingston MD54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations (25 of 26)

1489 W Palmetto Park Rd
Fl 1
Boca Raton, FL 33486

3848 Fau Blvd
Fl 1
Boca Raton, FL 33431
Phone (786) 266-1883

3651 NW 82nd Ave
Ste 302
Doral, FL 33166

142 John F Kennedy Dr
Ste 142
Lake Worth, FL 33462

5301 S Congress Ave
Ste 204
Lake Worth, FL 33462

1120 NW 14th St
Ste 1464
Miami, FL 33136

1120 NW 14th St
Ste 450C
Miami, FL 33136
Phone (305) 243-9110

1150 NW 14th St
Miami, FL 33136
Phone (305) 243-6165

1295 NW 14th St
Ste Kl
Miami, FL 33125

1321 NW 14th St
#402W
Miami, FL 33125

1321 NW 14th St
Ste 206
Miami, FL 33125

1400 NW 12th Ave
#12
Miami, FL 33136

1400 NW 12th Ave
Ste 402
Miami, FL 33136
Phone (305) 243-8272

1475 NW 12th Ave
Fl 1OPD1
Miami, FL 33136

1475 NW 12th Ave
Ste 3OPD1
Miami, FL 33136

15255 SW 137th Ave
Miami, FL 33177
Phone (305) 233-8499

1600 NW 10th Ave
Ste 8150
Miami, FL 33136
Phone (305) 243-3939

1611 NW 12th Ave
#740
Miami, FL 33136
Phone (305) 243-4546

1611 NW 12th Ave
Fl 15
Miami, FL 33136

1800 NW 10th Ave
Ste T215
Miami, FL 33136
Phone (305) 585-1178

1801 NW 9th Ave
Ste 332
Miami, FL 33136

2801 NW 79th Ave
#403
Miami, FL 33122

2801 NW 79th Ave
Ste 2007
Miami, FL 33122

300 NE 80th Ter
Miami, FL 33138
Phone (786) 845-0164

900 NW 17th St
#5
Miami, FL 33136
Phone (305) 243-2742

Practitioners & affiliated clinicians

Practitioners 1,356

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,356

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1932150752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "BOX 016960 M851",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-7688",
            "fax_number": "305-243-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "BOX 016960 M851",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-7688",
            "fax_number": "305-243-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "CESIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "305-243-6837"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0302945-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMiami Medicine - Immuno Monitoring Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 31, 2019; 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.