Active NPI
Lunar Laboratories LLC
- Clinical Medical Laboratory
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LUNAR LABORATORIES LLC
- Practice address
- 7805 SW Ellipse Way Ste A19
Stuart, FL 34997-7263 - Phone
- (561) 288-8550
- NPI assigned
- Oct 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andreas Mbah, PHD
- Title
- Registered Agent
- Phone
- (347) 988-6436
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
7805 SW Ellipse Way Ste A19
Stuart, FL 34997-7263
Mailing address
7805 SW Ellipse Way Ste A19
Stuart, FL 34997-7263
Phone (561) 288-8550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260427002341 | FL | Part B Supplier - Independent Clinical Laboratory | 3274000310 | Practice locations: Stuart, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2332597 | Lunar Laboratories LLC | Registration | Oct 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
7805 SW Ellipse Way
Ste A19
Stuart, FL 34997
Phone (561) 288-8550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Pathology/Laboratory Medicine Physician
- Delray Beach, FL
- NPI 1194368795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1033085816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7805 SW ELLIPSE WAY STE A19",
"city": "STUART",
"state": "FL",
"postal_code": "349977263",
"telephone_number": "561-288-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7805 SW ELLIPSE WAY STE A19",
"city": "STUART",
"state": "FL",
"postal_code": "349977263",
"telephone_number": "561-288-8550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNAR LABORATORIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "MBAH",
"authorized_official_first_name": "ANDREAS",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "347-988-6436",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.