Unknown Individual – Clinical Medical Laboratory, NPI 1730149709

Unknown Individual is a healthcare provider. based in Ft lauderdale, Florida. specializing in Clinical Medical Laboratory. They hold a License No. 800001410 (FL). The NPI Number for Unknown Individual is 1730149709

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730149709
Phone
(386) 738-1809
Address
3951 SW 30TH AVE
Deactivation Date
2 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Southwest 30th Avenue, Melrose Park, Fort Lauderdale, Broward County, Florida, 33312, United States

    FT LAUDERDALE, FL 333126816

    Phone: (386) 738-1809

    Fax: (386) 738-1706

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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 33312)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1730149709 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Medical Laboratory. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Ft Lauderdale?
Public fields place Unknown Individual around Ft Lauderdale, Florida. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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