INNOVATIVE DIAGNOSTIC SERVICES LLC NPI 1194992826

NPI Information

  • NPI: 1194992826
  • Provider Name: INNOVATIVE DIAGNOSTIC SERVICES, LLC
  • Classification: Clinic/Center - 261QS1200X
  • Specialization: Sleep Disorder Diagnostic
  • Entity Type: Organization
  • CLIA Number: 10D2159116
  • Address: 14100 PALMETTO FRONTAGE RD
    202
    MIAMI LAKES, FL
    ZIP 33016
  • Phone: (305) 764-0869

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NPI Details

INNOVATIVE DIAGNOSTIC SERVICES, LLC is a sleep disorder diagnostic clinic center in Miami Lakes, FL. INNOVATIVE DIAGNOSTIC SERVICES, LLC NPI is 1194992826. The provider is registered as an organization entity type.

The provider's business location address is:

14100 PALMETTO FRONTAGE RD
202
MIAMI LAKES, FL
ZIP 33016-569
Phone: (305) 764-0869

The provider's authorized official is Victor Valdes .
The authorized official title is Director and has the following contact phone number (305) 764-0869.

The CLIA number assigned to this NPI record is 10D2159116 - other - clinical research with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 5/19/2008.

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
1261QS1200XClinic/CenterSleep Disorder DiagnosticFLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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