Organization Active NPI

Cronos Clinical Laboratory

  • Clinical Medical Laboratory
  • Doral, FL
National Provider Identifier
1982604070
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800019596 Issued in FL
Legal business name
CRONOS CLINICAL LABORATORY
Practice address
2650 NW 97TH Ave
Doral, FL 33172-1400
Phone
(305) 592-2503
Fax
(305) 592-2663
NPI assigned
Jul 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Maikel Gonzalez
Title
Owner
Phone
(305) 592-2503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800019596 FL Primary

Addresses

Primary practice location

2650 NW 97TH Ave
Doral, FL 33172-1400

Mailing address

2650 NW 97TH Ave
Doral, FL 33172-1400
Phone (305) 592-2503

Other identifiers 1

IdentifierTypeStateIssuer
031396300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110000737 FL Part B Supplier - Independent Clinical Laboratory 7810950896 Practice locations: Doral, FL

National Provider Directory

National Provider Directory

Locations

2650 NW 97th Ave
Doral, FL 33172
Phone (305) 592-2503

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1982604070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721400",
            "telephone_number": "305-592-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721400",
            "telephone_number": "305-592-2503",
            "fax_number": "305-592-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRONOS CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MAIKEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-592-2503"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800019596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031396300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.