OrganizationActive
Southeast Medical Lab Inc
NPI 1417909433 · Clinical Medical Laboratory · Miami, FL
Provider details
- NPI number
- 1417909433
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Manuel Hernandez, President(305) 805-3748
- License
- 800016264 (FL)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6920 Nw 72nd Ave
Miami, FL 33166-3036
Phone: (305) 805-3748
Fax: (305) 805-3749
Street-level locationGet directions
Mailing address
6920 Nw 72nd Ave
Miami, FL 33166-3036
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2012-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.