SOUTHEAST MEDICAL LAB INC – Clinical Medical Laboratory, NPI 1417909433

SOUTHEAST MEDICAL LAB INC is a healthcare provider. based in Miami, Florida. specializing in Clinical Medical Laboratory. The organization holds a License No. 800016264 (FL). The NPI Number for SOUTHEAST MEDICAL LAB INC is 1417909433

Main info

Organization
Name
SOUTHEAST MEDICAL LAB INC
NPI
1417909433
Phone
(305) 805-3748
Address
6920 NW 72ND AVE
Authorized Official
MR. MANUEL HERNANDEZ PRESIDENT LABORATORY SUPERVISO
Enumeration Date
17 May 2006
Last Update Date
26 November 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTHEAST MEDICAL LAB INC

  • 6920, Northwest 72nd Avenue, Miami-Dade County, Florida, 33166, United States

    MIAMI, FL 331663036

    Phone: (305) 805-3748

    Fax: (305) 805-3749

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33166)

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Reviews

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Frequently asked questions

What number should I use to identify SOUTHEAST MEDICAL LAB INC for billing?
Administrative and clinical systems typically use NPI 1417909433 for SOUTHEAST MEDICAL LAB INC.
Is SOUTHEAST MEDICAL LAB INC's NPI status active today?
Active status means SOUTHEAST MEDICAL LAB INC's NPI record is not deactivated in the public file.
What type of care does SOUTHEAST MEDICAL LAB INC provide?
SOUTHEAST MEDICAL LAB INC's profile centers on Clinical Medical Laboratory. Clinical services aligned with this taxonomy classification.
Which community is linked to SOUTHEAST MEDICAL LAB INC?
SOUTHEAST MEDICAL LAB INC shows a connection to Miami, Florida in registry-derived data.
Can I export SOUTHEAST MEDICAL LAB INC's record?
You can download the official NPPES record; we summarize key fields for readability.

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