850 LABS TO GO LLC NPI 1134092471

NPI Information

  • NPI: 1134092471
  • Provider Name: 850 LABS TO GO LLC
  • Classification: Pathology - 247ZC0005X
  • Specialization: Clinical Laboratory Director, Non-physician
  • Entity Type: Organization
  • Address: 6954 W HIGHWAY 98 APT 2-102
    PANAMA CITY BEACH, FL
    ZIP 32407
  • Phone: (850) 630-2667

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NPI Details

850 LABS TO GO LLC is a clinical laboratory director and non-physician pathology in Panama City Beach, FL. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. 850 LABS TO GO LLC NPI is 1134092471. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6954 W HIGHWAY 98 APT 2-102
PANAMA CITY BEACH, FL
ZIP 32407-433
Phone: (850) 630-2667
Fax: (754) 339-0030

The provider's authorized official is Cassidy Rose Bacon .
The authorized official title is Ceo, Cfo, Director, Collector and has the following contact phone number (850) 630-2667.

The enumeration date for this NPI number is 9/24/2025 and was last updated on 9/24/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1247ZC0005XPathologyClinical Laboratory Director, Non-physicianYes

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: 11/21/2025

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