Active NPI
Sand Point Laboratories, LLC
- Clinical Medical Laboratory
- Titusville, FL
National Provider Identifier
1215747761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SAND POINT LABORATORIES, LLC
- Practice address
- 3435 S Hopkins Ave Ste 4
Titusville, FL 32780-5681 - Phone
- (305) 213-3856
- NPI assigned
- Jan 8, 2025
- Last updated
- May 28, 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
- Gocha Khvichia
- Title
- Owner
- Phone
- (305) 213-3856
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
3435 S Hopkins Ave Ste 4
Titusville, FL 32780-5681
Mailing address
3435 S Hopkins Ave Ste 4
Titusville, FL 32780-5681
Phone (305) 213-3856
National Provider Directory
National Provider DirectoryLocations
3435 S Hopkins Ave
Ste 4
Titusville, FL 32780
Phone (305) 213-3856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748390400000",
"number": "1215747761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 S HOPKINS AVE STE 4",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327805681",
"telephone_number": "305-213-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 S HOPKINS AVE STE 4",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327805681",
"telephone_number": "305-213-3856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAND POINT LABORATORIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-08",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "KHVICHIA",
"authorized_official_first_name": "GOCHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-213-3856"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.