10D0682667 CLIA NUMBER - JAIME A MERCADO MD LLC

Laboratory Demographics

CLIA Number: 10D0682667

Facility Name: JAIME A MERCADO MD LLC

Facility Address:
260 SW 84TH AVE STE D
PLANTATION, FL
ZIP 33324
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Facility Phone Number: 954 370-7036

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225142938

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D0682667
LAB Type	Physician Office
Facility Name	JAIME A MERCADO MD LLC
Street	260 SW 84TH AVE STE D
City	PLANTATION
State	FL
ZIP	33324
Phone	954 370-7036
CertificateType	4
CertificateEffectiveDate	10/1/2023
CertificateExpirationDate	9/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024