5IVE STAR DIAGNOSTIC SOLUTIONS LLC NPI 1588420053

NPI Information

  • NPI: 1588420053
  • Provider Name: 5IVE STAR DIAGNOSTIC SOLUTIONS LLC
  • Classification: Pathology - 247ZC0005X
  • Specialization: Clinical Laboratory Director, Non-physician
  • Entity Type: Organization
  • CLIA Number: 01D2268252
  • Address: 1015 MONTLIMAR DR STE C5
    MOBILE, AL
    ZIP 36609
  • Phone: (251) 300-8331

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NPI Details

5IVE STAR DIAGNOSTIC SOLUTIONS LLC is a clinical laboratory director and non-physician pathology in Mobile, AL. 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. 5IVE STAR DIAGNOSTIC SOLUTIONS LLC NPI is 1588420053. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1015 MONTLIMAR DR STE C5
MOBILE, AL
ZIP 36609-717
Phone: (251) 300-8331
Fax: (251) 300-8501

The provider's authorized official is Brandi Jackson .
The authorized official title is Owner and has the following contact phone number (251) 300-8331.

The CLIA number assigned to this NPI record is 01D2268252 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2024 and was last updated on 2/22/2024.

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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