10D0913568 CLIA NUMBER - DOCTORS INDEPENDENT MEDICAL ENTERPRISE

Laboratory Demographics

CLIA Number: 10D0913568

Facility Name: DOCTORS INDEPENDENT MEDICAL ENTERPRISE

Facility Address:
3796 W FLAGLER STREET
MIAMI, FL
ZIP 33134
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Facility Phone Number: 305 444-1155

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255487278

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D0913568
LAB Type	Physician Office
Facility Name	DOCTORS INDEPENDENT MEDICAL ENTERPRISE
Street	3796 W FLAGLER STREET
City	MIAMI
State	FL
ZIP	33134
Phone	305 444-1155
CertificateType	4
CertificateEffectiveDate	4/4/2024
CertificateExpirationDate	4/3/2026
FacilityType	Waiver

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