SMART LAB LLC NPI 1770980062

NPI Information

  • NPI: 1770980062
  • Provider Name: SMART LAB LLC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Doing Business As: SMART LAB, LLC
  • Address: 10385 IRONWOOD RD
    SUITE 130
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Phone: (561) 513-8440

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NPI Details

SMART LAB LLC is a clinical medical laboratory in Palm Beach Gardens, 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. SMART LAB LLC NPI is 1770980062. The provider is registered as an organization entity type.
The provider Is Doing Business As Smart Lab, Llc.

The provider's business location address is:

10385 IRONWOOD RD
SUITE 130
PALM BEACH GARDENS, FL
ZIP 33410-291
Phone: (561) 513-8440
Fax: (561) 370-6036

The provider's authorized official is Justin Morgan Wayne .
The authorized official title is Chief Operating Officer and has the following contact phone number (561) 513-8440.

The enumeration date for this NPI number is 12/2/2014 and was last updated on 6/30/2016.

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
1291U00000XClinical Medical LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11770980062MEDICAIDUTAH
2IH908AOTHERMEDICARE PTAN
3100049019MEDICAIDWISCONSIN
4800027631OTHERFLORIDASTATE LICENSE
51025400MEDICAIDVERMONT
634458OTHERPENNSYLVANIASTATE LICENSE
7P01611847OTHERRR MEDICARE
8015049900MEDICAIDFLORIDA
9COS 00800603OTHERCALIFORNIASTATE LICENSE
100155902MEDICAIDOHIO

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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