Organization Active NPI

DMT Lab LLC

  • Clinical Medical Laboratory
  • Pinellas Park, FL
National Provider Identifier
1255294484
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DMT LAB LLC
Practice address
8400 49TH St N Apt 1701
Pinellas Park, FL 33781-1549
Phone
(859) 310-0787
NPI assigned
Dec 4, 2025
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Manojkumar N Desai
Title
Director
Phone
(859) 310-0787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

8400 49TH St N Apt 1701
Pinellas Park, FL 33781-1549

Mailing address

8400 49TH St N Apt 1701
Pinellas Park, FL 33781-1549
Phone (859) 310-0787

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2341904DMT Lab LLC8400 49TH St N Apt 1701, Pinellas Park, FL 33781Certificate of waiverApr 9, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1255294484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 49TH ST N APT 1701",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337811549",
            "telephone_number": "859-310-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 49TH ST N APT 1701",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337811549",
            "telephone_number": "859-310-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMT LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "MANOJKUMAR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-310-0787"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.

Verify at the official NPI Registry.