Organization Active NPI

Fast & Easy Mobile Lab LLC

  • Clinical Medical Laboratory
  • Port St Lucie, FL
National Provider Identifier
1104746494
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FAST & EASY MOBILE LAB LLC
Practice address
1988 SW Monterrey LN
Port St Lucie, FL 34953-2027
Phone
(561) 781-5008
NPI assigned
Jul 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Manoucheka Evariste
Title
Owner
Phone
(561) 718-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1988 SW Monterrey LN
Port St Lucie, FL 34953-2027

Mailing address

1825 NW Corporate Blvd Ste 110
Boca Raton, FL 33431-8554
Phone (561) 718-5008

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2341527Fast and Easy Mobile Lab LLC1988 SW Monterrey Lane, Port Saint Lucie, FL 34953Certificate of waiverApr 2, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1104746494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NW CORPORATE BLVD STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318554",
            "telephone_number": "561-718-5008",
            "fax_number": "954-994-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 SW MONTERREY LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532027",
            "telephone_number": "561-781-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST & EASY MOBILE LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "EVARISTE",
        "authorized_official_first_name": "MANOUCHEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-718-5008"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.