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TOTAL RENAL LABORATORIES INC NPI 1245720820


NPI Information

NPI: 1245720820
Provider Name: TOTAL RENAL LABORATORIES INC

Doing Business As: DAVITA LABS

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 10D2154944

Address:
3000 DAVITA WAY
DELAND, FL
ZIP 32724
Phone: (386) 626-5700
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TOTAL RENAL LABORATORIES INC is a clinical medical laboratory in Deland, FL. The provider is (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. TOTAL RENAL LABORATORIES INC NPI is 1245720820. The provider is registered as an organization entity type.
The provider Is Doing Business As Davita Labs.

The provider's business location address is:

3000 DAVITA WAY
DELAND, FL
ZIP 32724
Phone: (386) 626-5700
Fax: (386) 626-5638

The provider's authorized official is Keri Wagner .
The authorized official title is Vp - General Manager and has the following contact phone number (386) 626-5700.

The CLIA number assigned to this NPI record is 10D2154944 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/18/2018 and was last updated on 8/3/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory800005025FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10326359MEDICAIDOHIO
2L00677MEDICAIDSOUTH CAROLINA
31245720820MEDICAIDCOLORADO
41245720820MEDICAIDCALIFORNIA
510026760900MEDICAIDNEBRASKA
6101245100MEDICAIDFLORIDA
71245720820MEDICAIDMICHIGAN
8100758080BMEDICAIDOKLAHOMA
91245720820MEDICAIDWYOMING
103010008MEDICAIDUTAH
111245720820MEDICAIDIDAHO
12110148599AMEDICAIDMASSACHUSETTS
131245720820MEDICAIDMONTANA

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: 4/28/2024

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