Active NPI
Digestive Medicine Histology Lab, LLC
- Clinical Medical Laboratory
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- DIGESTIVE MEDICINE HISTOLOGY LAB, LLC
- Practice address
- 2140 W 68TH St
Suite 103
Hialeah, FL 33016-1815 - Phone
- (305) 822-4107
- Fax
- (305) 822-5086
- NPI assigned
- Mar 26, 2010
- Last updated
- Jan 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Francisco R Maderal, MD
- Title
- Physician
- Phone
- (305) 822-4107
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2140 W 68TH St
Suite 103
Hialeah, FL 33016-1815
Mailing address
2140 W 68TH St
Suite 305
Hialeah, FL 33016-1815
Phone (305) 822-4107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2010126 | Digestive Medicine Histology Lab LLC | Accreditation | Sep 6, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2140 W 68th St
Ste 103
Hialeah, FL 33016
Phone (305) 822-4107
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 5
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.
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- Clinical Pathology/Laboratory Medicine Physician
- Atlantis, FL
- NPI 1033219324
-
- Anatomic Pathology & Clinical Pathology Physician
- Miami, FL
- NPI 1154465508
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Lauderdale, FL
- NPI 1760558134
-
- Gastroenterology Physician
- Hialeah, FL
- NPI 1861470551
-
- Gastroenterology Physician
- Hialeah, FL
- NPI 1518955020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452643200000",
"number": "1932423449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 W 68TH ST",
"address_2": "SUITE 305",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161815",
"telephone_number": "305-822-4107",
"fax_number": "305-822-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 W 68TH ST",
"address_2": "SUITE 103",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161815",
"telephone_number": "305-822-4107",
"fax_number": "305-822-5086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE MEDICINE HISTOLOGY LAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-26",
"last_updated": "2016-01-13",
"status": "A",
"authorized_official_last_name": "MADERAL",
"authorized_official_first_name": "FRANCISCO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "305-822-4107",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.