Healthcare Provider Details

I. General information

NPI: 1881558096
Provider Name (Legal Business Name): LOTUS PREMIER DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10800 BISCAYNE BLVD STE 725
MIAMI FL
33161-7494
US

IV. Provider business mailing address

10800 BISCAYNE BLVD STE 725
MIAMI FL
33161-7494
US

V. Phone/Fax

Practice location:
  • Phone: 917-439-6315
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ELLIOT SCHARF
Title or Position: COO
Credential:
Phone: 786-706-4786