Organization Active NPI

University Laboratory Solutions LLC

  • Clinical Medical Laboratory
  • Palm Bay, FL
National Provider Identifier
1255289534
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNIVERSITY LABORATORY SOLUTIONS LLC
Practice address
490 Centre Lake Dr NE Ste 201B
Palm Bay, FL 32907-1177
Phone
(321) 536-0254
NPI assigned
Mar 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Rajendra Melaram, MT
Title
Laboratory Manager
Phone
(321) 536-0254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

490 Centre Lake Dr NE Ste 201B
Palm Bay, FL 32907-1177

Mailing address

490 Centre Lake Dr NE Ste 201B
Palm Bay, FL 32907-1177
Phone (321) 536-0254

National Provider Directory

National Provider Directory

Locations

490 Centre Lake Dr NE
Ste 201B
Palm Bay, FL 32907
Phone (321) 536-0254

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1255289534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 CENTRE LAKE DR NE STE 201B",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071177",
            "telephone_number": "321-536-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CENTRE LAKE DR NE STE 201B",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071177",
            "telephone_number": "321-536-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY LABORATORY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "MELARAM",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "LABORATORY MANAGER",
        "authorized_official_telephone_number": "321-536-0254",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.