| Organization Name: | SOTERIA MEDICAL, LLC |
| NPI Number: | 1427445345 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY KENT RAINES (PRESIDENT AND CEO) |
| Mailing Address: | 9150 Sw 87th Ave Suite 213 Miami |
| State: | FL US |
| Postal Code: | 331762319 |
| Phone Number: | 3055954447 |
| Fax Number: | 3052486320 |
| NPI Enumeration Date: | 04/17/2015 |
| NPI Last Update Date: | 04/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 293D00000X |
| License Number: | 10D2086850 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Physiological Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |