DAVITA LABS – NPI #1245720820
Clinical Medical Laboratory

(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.

DAVITA LABS is a clinical medical laboratory located in DELAND, FL. NPPES has assigned the NPI number 1245720820 to DAVITA LABS on May 18, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DAVITA LABS” is a dba name, the actual legal business name for this organization is TOTAL RENAL LABORATORIES INC. The primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was last updated on Aug 28, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVITA LABS below.

NPI Profile for
TOTAL RENAL LABORATORIES INC

NPI Number
1245720820
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TOTAL RENAL LABORATORIES INC
Doing Business As (dba): DAVITA LABS
Primary location
3000 DAVITA WAY
DELAND, FL 32724
Phone: (386) 626-5700 Fax: (386) 626-5638
Mailing address
PO BOX 100244
ATLANTA, GA 30384-0244
Phone: (386) 626-5700 Fax:
Organization Subpart
Yes - DAVITA LABS is subpart of another organization.
Authorized Official
KERI WAGNER
VP - GENERAL MANAGER
Phone: (386) 626-5700
Updated
Certification Date
Aug 28, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DAVITA LABS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
medicaidAL228520
medicaidAR232372709
medicaidAZ504222
medicaidCA1245720820
medicaidCO1245720820
medicaidCT1245720820
medicaidDC081833728
medicaidFL101245100
medicaidGA003214508A
medicaidIA0412083
medicaidID1245720820
medicaidIN300022760
medicaidKS30003947130002
medicaidKY7100581410
medicaidLA2488171
medicaidMA110148599A
medicaidMD283981402
medicaidME1245720820
medicaidMI1245720820
medicaidMN1245720820
medicaidMO700066284
medicaidMS04402709
medicaidMT1245720820
medicaidNC1245720820
medicaidND1477612
medicaidNE10026760900
medicaidNH3118922
medicaidNJ0706493
medicaidNM38436361
medicaidNY02244535
medicaidOH0326359
medicaidOK100758080B
medicaidOR500761736
medicaidPA0015880660004
medicaidSCL00677
medicaidSD1245720820
medicaidTNQ069472
medicaidTX3995045-01
medicaidUT3010008
medicaidVA1245720820
medicaidWA2124491
medicaidWI1245720820
medicaidWV1245720820
medicaidWY1245720820
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)
FL 800005025

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.