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FYZAMEDICAL LLC NPI 1568974798


NPI Information

NPI: 1568974798
Provider Name: FYZAMEDICAL LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 10D2150190

Address:
7209 CURRY FORD RD STE B
ORLANDO, FL
ZIP 32822
Phone: (407) 501-8563
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FYZAMEDICAL LLC is a clinical medical laboratory in Orlando, 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. FYZAMEDICAL LLC NPI is 1568974798. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7209 CURRY FORD RD STE B
ORLANDO, FL
ZIP 32822-809
Phone: (407) 501-8563
Fax: (512) 532-0923

The provider's authorized official is Tyler Penrod .
The authorized official title is Biller and has the following contact phone number (305) 907-4175.

The CLIA number assigned to this NPI record is 10D2150190 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/27/2017 and was last updated on 12/18/2020.


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
1246RP1900XTechnician, PathologyPhlebotomyNo
2291U00000XClinical Medical LaboratoryYes

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
110D2150190OTHERFLORIDACLIA

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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