Organization Active NPI

Biolabs Diagnostics LLC

  • Clinical Medical Laboratory
  • Stuart, FL
National Provider Identifier
1134728405
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BIOLABS DIAGNOSTICS LLC
Practice address
7865 SW Ellipse Way
Stuart, FL 34997-7247
Phone
(724) 570-5852
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Derek Andrew Pagan
Title
Owner
Phone
(772) 362-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7865 SW Ellipse Way
Stuart, FL 34997-7247

Mailing address

1044 N US Highway 1 Ste 201
Jupiter, FL 33477-4308
Phone (724) 570-5852

National Provider Directory

National Provider Directory

Locations

1044 N US Highway 1
Ste 201
Jupiter, FL 33477

7865 SW Ellipse Way
Stuart, FL 34997
Phone (724) 570-5852

7811 SW Ellipse Way
#C12
Stuart, FL 34997
Phone (561) 354-6915

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1134728405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 N US HIGHWAY 1 STE 201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774308",
            "telephone_number": "724-570-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 SW ELLIPSE WAY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977247",
            "telephone_number": "724-570-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOLABS DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-362-2010"
    },
    "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 19, 2020; 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.