MAVERICK LABS LLC NPI 1811439433

NPI Information

  • NPI: 1811439433
  • Provider Name: MAVERICK LABS LLC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Former Legal Business Name: OPTUM LABS LLC
  • Address: 4601 N CONGRESS AVE SUITE 203
    WEST PALM BEACH, FL
    ZIP 33407
  • Phone: (561) 806-0990

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NPI Details

MAVERICK LABS LLC is a clinical medical laboratory in West Palm Beach, 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. MAVERICK LABS LLC NPI is 1811439433. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Optum Labs Llc.

The provider's business location address is:

4601 N CONGRESS AVE SUITE 203
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 806-0990
Fax: (561) 423-2495

The provider's authorized official is Joshua Hirth .
The authorized official title is Owner and has the following contact phone number (561) 504-8343.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets (HCPCS:87507)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique (HCPCS:87486)
  • Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique (HCPCS:87581)
  • Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets (HCPCS:87631)
  • 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0004)
  • Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Detection test by nucleic acid for clostridium difficile, amplified probe technique (HCPCS:87493)
  • Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets (HCPCS:87506)
  • Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool (HCPCS:87338)
  • Stool lactoferrin (immune system protein) analysis (HCPCS:83630)

The enumeration date for this NPI number is 11/14/2016 and was last updated on 11/25/2020.

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 Laboratory800028324FLORIDAYes

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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