Organization Active NPI

Sand Point Laboratories, LLC

  • Clinical Medical Laboratory
  • Titusville, FL
National Provider Identifier
1215747761
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.