PRIMARY DIAGNOSTICS LABORATORY PLLC (NPI# 1942641923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942641923 |
| Entity Type | Organization |
| Organization Name | PRIMARY DIAGNOSTICS LABORATORY PLLC |
| Practice Address |
115 S 17th Ave Hollywood FL 33020-6801 |
| Practice Telephone | 9545057301 |
| Practice Fax Number | 9545057302 |
| Mailing Telephone | 9545057301 |
| Mailing Fax Number | 9545057302 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |
| Authorized Official Name | JEAN-ROBERT B DUMAS (OWNER) |
| Authorized Official Telephone | 9735178740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
115 S 17TH AVE |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-6801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851623573 | Fisioterapia Hollywodd Medical | Clinic/Center | 115 S 17th Ave, Hollywood, FL 33020-6801 | 2010-02-04 |
| 1528442092 | Jean-robert Dumas | Spec/Tech, Pathology | 115 S 17th Ave, Hollywood, FL 33020-6801 | 2015-07-15 |
| 1174820559 | Fisioterapia Hollywood Inc | Clinic/Center | 115 S 17th Ave, Hollywood, FL 33020-6801 | 2011-02-19 |
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|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1720693021 | Genome LLC | Clinical Medical Laboratory | 3700 Washington St Ste 402, Hollywood, FL 33021-8249 | 2020-09-14 |
| 1932723699 | Citywide Medical Lab LLC | Clinical Medical Laboratory | 2700 N 29th Ave Ste 301, Hollywood, FL 33020-1515 | 2020-05-28 |
| 1174983266 | Gidwani Pathology | Clinical Medical Laboratory | 3950 Hollywood Blvd, Suite 201-c, Hollywood, FL 33021 | 2016-03-02 |
| 1164607479 | Precise Laboratories Inc | Clinical Medical Laboratory | 2324 Hollywood Blvd Ste 5, Hollywood, FL 33020-6703 | 2008-01-04 |
| 1932182284 | Laboratory Corporation of America | Clinical Medical Laboratory | 4200 N 29th Ave, Hollywood, FL 33020-1016 | 2005-11-21 |
| 1427595354 | E-lab of Florida Inc. | Clinical Medical Laboratory | 6100 Hollywood Blvd, Suite 306, Hollywood, FL 33024-7982 | 2017-01-30 |
| 1922557446 | Recovery In The Light | Clinical Medical Laboratory | 5001 Hollywood Blvd, Hollywood, FL 33021-6515 | 2016-09-26 |
| 1578987756 | Saban Community Clinic | Clinical Medical Laboratory | 6043 Hollywood Blvd, Hollywood, CA 90028-5411 | 2014-02-10 |
| 1336418698 | American Metabolic Testing Laboratories | Clinical Medical Laboratory | 1818 Sheridan St, #102, Hollywood, FL 33020-2113 | 2011-12-15 |
| 1780990762 | Hollywood Specialty Pathology Lab LLC | Clinical Medical Laboratory | 3850 Hollywood Blvd, Suite 201, Hollywood, FL 33021-6748 | 2010-08-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.