MEDILAB INC NPI 1184403685

NPI Information

  • NPI: 1184403685
  • Provider Name: MEDILAB INC
  • Classification: Pathology - 247ZC0005X
  • Specialization: Clinical Laboratory Director, Non-physician
  • Entity Type: Organization
  • CLIA Number: 10D2284492
  • Address: 1860 SE PORT ST LUCIE BLVD
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Phone: (305) 588-0106

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NPI Details

MEDILAB INC is a clinical laboratory director and non-physician pathology in Port Saint Lucie, 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. MEDILAB INC NPI is 1184403685. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1860 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34952-545
Phone: (305) 588-0106

The provider's authorized official is Amelia Mesa .
The authorized official title is Authorized Official and has the following contact phone number (305) 588-0106.

The CLIA number assigned to this NPI record is 10D2284492 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/25/2023 and was last updated on 3/7/2024.

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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