Mays Landing Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MAYS LANDING DIAGNOSTICS LLC

Practice address

823 SE Osceola St Ste 4
Stuart, FL 34994-2431

Phone

(772) 210-4338

NPI assigned

Apr 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James D Bevell Jr.

Title

Owner

Phone

(772) 210-4338

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1104389766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189360721",
            "telephone_number": "772-210-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SE OSCEOLA ST STE 4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942431",
            "telephone_number": "772-210-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYS LANDING DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "BEVELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-210-4338",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA",
            "identifier": "29448",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2164233",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zeysha Michelle Mayer
• Amanda Mayher
• Aleesha Mayo
• David Mayor
• Andrea J Mayorga
• Mariah Rose Mays
• Joan Sebastian Mazorra, RBT
• Ivan Xavier Mazursky
• Leya Mbambu
• MBH Health Inc

• Clinical Medical Laboratory in Stuart, FL
• Providers in Stuart, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.