INDEPENDENT CLINICAL LABORATORIES LLC NPI 1285707943

NPI Information

  • NPI: 1285707943
  • Provider Name: INDEPENDENT CLINICAL LABORATORIES LLC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 10D1035593
  • Address: 3110 CHERRY PALM DR
    SUITE 340
    TAMPA, FL
    ZIP 33619
  • Phone: (813) 932-0374

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NPI Details

INDEPENDENT CLINICAL LABORATORIES LLC is a clinical medical laboratory in Tampa, 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. INDEPENDENT CLINICAL LABORATORIES LLC NPI is 1285707943. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3110 CHERRY PALM DR
SUITE 340
TAMPA, FL
ZIP 33619-304
Phone: (813) 932-0374
Fax: (813) 931-0658

The provider's authorized official is Daniel Nodes .
The authorized official title is Coo and has the following contact phone number (843) 754-7748.

The CLIA number assigned to this NPI record is 10D1035593 - mobile laboratory with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Antibody evaluation, each additional single antibody stain procedure (HCPCS:88350)
  • Surgical pathology consultation and report on referred slides prepared elsewhere (HCPCS:88321)
  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique (HCPCS:87641)
  • Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS:87500)
  • Antibody evaluation, initial single antibody stain procedure (HCPCS:88346)
  • Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
  • Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique (HCPCS:87653)
  • Detection test by nucleic acid for human papillomavirus (hpv), types 16 and 18 only (HCPCS:87625)
  • Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique (HCPCS:87651)
  • Detection of mycoplasma genitalium by dna or rna probe (HCPCS:87563)
  • Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique (HCPCS:87556)
  • Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
  • Detection by nucleic acid bartonella henselae and bartonella quintana (bacteria), amplified probe technique (HCPCS:87471)
  • Detection test by nucleic acid for clostridium difficile, amplified probe technique (HCPCS:87493)
  • Microscopic genetic analysis of nerve tissue (HCPCS:88356)
  • Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique (HCPCS:87491)
  • Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique (HCPCS:87591)
  • Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique (HCPCS:87661)
  • Detection test for gardnerella vaginalis (bacteria), amplified probe technique (HCPCS:87511)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Surgical pathology consultation and report on referred material requiring preparation of slides (HCPCS:88323)

The enumeration date for this NPI number is 11/17/2006 and was last updated on 6/4/2025.

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
1291U00000XClinical Medical Laboratory800001312FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1030103500MEDICAIDFLORIDA

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: 11/21/2025

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