Davita Labs

LBN: Total Renal Laboratories Inc
Davita Labs is an health care organization with primary practice located at 3000 Davita Way , Deland FL 32724. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Total Renal Laboratories Inc can be contacted via phone (386) 626-5700, or through Wagner, Keri via phone (386) 626-5700.

Contact Information

Primary practice address
3000 Davita Way Deland FL 32724
Phone: (386) 626-5700
Fax: (386) 626-5638
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Keri
Phone: (386) 626-5700

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 800005025 Florida

Profile Details

NPI number 1245720820
LBN Legal business name Total Renal Laboratories Inc
DBA Doing business as Davita Labs
Authorized official Wagner, Keri
Entity Organization
Organization subpart 1 Yes
Enumeration date May 18th, 2018
Last updated Aug 3rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245720820 NPPES
Ohio MEDICAID 0326359
Ohio MEDICAID L00677
Ohio MEDICAID 1245720820
Ohio MEDICAID 1245720820
Ohio MEDICAID 10026760900
Ohio MEDICAID 101245100
Ohio MEDICAID 1245720820
Ohio MEDICAID 100758080B
Ohio MEDICAID 1245720820
Ohio MEDICAID 3010008
Ohio MEDICAID 1245720820
Ohio MEDICAID 110148599A
Ohio MEDICAID 1245720820

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