MOONSHINE RESEARCH CENTER INC. NPI 1063839215

NPI Information

NPI: 1063839215
Provider Name: MOONSHINE RESEARCH CENTER, INC.
Classification: Clinic/Center - 261QR1100X
Entity Type: Organization

Specialization: Research

CLIA Number: 10D2076420

Address:
8181 NW 36TH ST
SUITE 11
DORAL, FL
ZIP 33166
Phone: (305) 463-9368
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MOONSHINE RESEARCH CENTER, INC. is a research clinic center in Doral, FL. MOONSHINE RESEARCH CENTER, INC. NPI is 1063839215. The provider is registered as an organization entity type.

The provider's business location address is:

8181 NW 36TH ST
SUITE 11
DORAL, FL
ZIP 33166-671
Phone: (305) 463-9368
Fax: (305) 463-9369

The provider's authorized official is Ana Pimentel .
The authorized official title is President and has the following contact phone number (305) 463-9368.

The CLIA number assigned to this NPI record is 10D2076420 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2014 and was last updated on 3/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1100X	Clinic/Center	Research			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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