Active NPI
Cronos Clinical Laboratory
- Clinical Medical Laboratory
- Doral, FL
National Provider Identifier
1982604070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 800019596
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031396300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041110000737 | FL | Part B Supplier - Independent Clinical Laboratory | 7810950896 | Practice locations: Doral, FL |
National Provider Directory
National Provider DirectoryLocations
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.