Active NPI
Fast & Easy Mobile Lab LLC
- Clinical Medical Laboratory
- Port St Lucie, FL
National Provider Identifier
1104746494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 10D2341527 | Fast and Easy Mobile Lab LLC | Certificate of waiver | Apr 2, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.