OrganizationIllumina Medical Center Of Hialeah, LlcClinic/CenterAmbulatory Health Care FacilitiesPractice Address200 W 49th St, Hialeah, FL 33012-3714(305) 254-8900PECOS EnrollmentBased on the most recent information from CMS, provider Illumina Medical Center Of Hialeah, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1801302500Provider TypeOrganizationFull NameIllumina Medical Center Of Hialeah, LlcSubpartNoEnumeration Date12/18/2017Last Updated2/9/2018Contact InformationPractice LocationPractice Address200 W 49th St, Hialeah, FL 33012-3714Phone(305) 254-8900Fax(305) 254-8902Mailing LocationMailing Address1914 NW 84th Ave, Doral, FL 33126-1030Phone(305) 254-8900Fax(305) 254-8902Authorized OfficialNameMongeotti, Angel (Executive Director Of Finance)Phone(305) 254-8900Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer