STAT MEDICAL CLINIC IV INC NPI 1487884540

NPI Information

NPI: 1487884540
Provider Name: STAT MEDICAL CLINIC IV INC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 10D0898117

Address:
2535 E SUNRISE BLVD
FORT LAUDERDALE, FL
ZIP 33304
Phone: (954) 568-1818
Get Directions

STAT MEDICAL CLINIC IV INC is a health service clinic center in Fort Lauderdale, FL. STAT MEDICAL CLINIC IV INC NPI is 1487884540. The provider is registered as an organization entity type.

The provider's business location address is:

2535 E SUNRISE BLVD
FORT LAUDERDALE, FL
ZIP 33304-203
Phone: (954) 568-1818
Fax: (954) 568-1475

The provider's authorized official is Patrice Pryce .
The authorized official title is Billing/coding and has the following contact phone number (954) 568-1818.

The CLIA number assigned to this NPI record is 10D0898117 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2009 and was last updated on 7/22/2009.

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	261QH0100X	Clinic/Center	Health Service			Yes

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
1	G52140	MEDICARE UPIN	FLORIDA
2	58935	MEDICARE PIN

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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