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JAG LAB LLC NPI 1558639757


NPI Information

NPI: 1558639757
Provider Name: JAG LAB LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 10D2037121

Address:
902 CLINT MOORE RD
SUITE 225
BOCA RATON, FL
ZIP 33487
Phone: (561) 314-2000
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JAG LAB LLC is a clinical medical laboratory in Boca Raton, FL. The provider is (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. JAG LAB LLC NPI is 1558639757. The provider is registered as an organization entity type.

The provider's business location address is:

902 CLINT MOORE RD
SUITE 225
BOCA RATON, FL
ZIP 33487-800
Phone: (561) 314-2000

The provider's authorized official is Gerard Christopher .
The authorized official title is Coo and has the following contact phone number (561) 314-2000.

The CLIA number assigned to this NPI record is 10D2037121 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/2/2011 and was last updated on 1/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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