NPI Details
PRIMARY DIAGNOSTICS LABORATORY PLLC is a clinical medical laboratory in Hollywood, 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. PRIMARY DIAGNOSTICS LABORATORY PLLC NPI is 1942641923. The provider is registered as an organization entity type.
The provider's business location address is:
115 S 17TH AVE
HOLLYWOOD, FL
ZIP 33020-801
Phone: (954) 505-7301
Fax: (954) 505-7302
The provider's authorized official is Jean-robert B Dumas .
The authorized official title is Owner and has the following contact phone number (973) 517-8740.
The CLIA number assigned to this NPI record is 10D2102167 - independent with a certificate type of Certificate of Accreditation.
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.
- Gene analysis (tumor protein 53) full sequence analysis (HCPCS:81351)
- Gene analysis (adenomatous polyposis coli), full gene sequence (HCPCS:81201)
- Gene analysis (phosphatase and tensin homolog), full sequence analysis (HCPCS:81321)
- Gene analysis (partner and localizer of brca2) full sequence analysis (HCPCS:81307)
- Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
- Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
- Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants (HCPCS:81162)
- Gene analysis (mutl homolog 1, colon cancer, nonpolyposis type 2) full sequence analysis (HCPCS:81292)
- Gene analysis (muts homolog 2, colon cancer, nonpolyposis type 1) full sequence analysis (HCPCS:81295)
- Gene analysis (muts homolog 6 [e coli]) full sequence analysis (HCPCS:81298)
- Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) full sequence analysis (HCPCS:81317)
- Gene analysis (coagulation factor ix) full sequence analysis (HCPCS:81238)
- Gene analysis (frataxin) of full sequence (HCPCS:81286)
The enumeration date for this NPI number is 7/8/2013 and was last updated on 7/8/2013.
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 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
